Patrick John Pham, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A168613 Issued in CA

Practice address

18501 Gale Ave Ste 150
City of Industry, CA 91748-1368

Phone

(626) 854-2020

NPI assigned

Apr 15, 2016

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Vision Institute of Southern California a Professional Medical Corpora

  • Ophthalmologic Surgery Clinic/Center
  • City of Industry, CA
  • NPI 1770865735
  NPD (past)

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1184078149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18501 GALE AVE STE 150",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917481368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18501 GALE AVE STE 150",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917481368",
            "telephone_number": "626-854-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9496 Magnolia Ave Ste 102B",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925033733",
            "country_code": "US",
            "telephone_number": "951-439-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "PATRICK",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-15",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A168613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talinda Rochelle Perkins, RN
• Vickie Lynn Perkins
• Dynasty Perry
• Cindy Pham, MD
• Minh Thi Pham, O.D.
• Lori Phambui
• David Coang Phan, D.C.
• David Vinh Phan
• Tracy Phan
• Alexa Pineda

• Ophthalmology Physician in City of Industry, CA
• Providers in City of Industry, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.