Alise Kathleen Pham, DO

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

20A18259 Issued in CA

Practice address

838 Nordahl Rd Ste 200
San Marcos, CA 92069-3595

Phone

(760) 281-3662

NPI assigned

Apr 25, 2015

Last updated

May 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Neurology

Education

Lake Erie College of Osteopathic Medicine, Erie, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Neuron Clinic GPGroup PAC ID 2961744586, 17 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: alise.pham.1@24703.direct.athenahealth.com
• Direct secure messaging: apham382527@scrippshlth.medalliesdirect.net
• FHIR API: https://api.platform.athenahealth.com/24703/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Neuron Clinic GP

  • Neurology Physician
  • Temecula, CA
  • NPI 1124582424
  Medicare reassignment Care Compare group NPD
• Center for Neurohealth, Inc.

  dba Kaizen Brain Center

  • Behavioral Neurology & Neuropsychiatry Physician
  • La Jolla, CA
  • NPI 1154864874
  NPD
• North County Neurology Associates Medical Group

  dba North County Neurology Associates

  • Neurology Physician
  • Temecula, CA
  • NPI 1689275075
  NPD
• Scripps Health

  dba Scripps Hospital Medical Services

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1184011363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 NORDAHL RD STE 200",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920693595",
            "telephone_number": "760-281-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 NORDAHL RD STE 200",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920693595",
            "telephone_number": "760-281-3662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44045 Margarita Rd # 106",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925922729",
            "country_code": "US",
            "telephone_number": "951-462-4624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "ALISE",
        "middle_name": "KATHLEEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-25",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "20A18259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M J Peters, M.D
• Kaitlyn Peterson
• Petrova Dental Corporation (Health & Beauty Dental Center)
• Natalia Petrova, DMD
• Eric R Pevney, PHD
• Lena Hanhduyen Pham
• Lynda Ho Pham, LMFT
• Nikki Pham, PHARM.D.
• Thanh Hoai Pham, D.D.S.
• Yufuko Phothichack

• Neurology Physician in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.