Active NPI
Vannessa Pham, HAD
- Hearing Instrument Specialist
- Corona, CA
National Provider Identifier
1194291245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- HA8404
- Practice address
- 802 Magnolia Ave Ste 208
Corona, CA 92879-3157 - Phone
- (951) 736-1630
- Fax
- (951) 736-8964
- NPI assigned
- Oct 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | HA8404 | CA | Primary |
Addresses
Primary practice location
802 Magnolia Ave Ste 208
Corona, CA 92879-3157
Mailing address
5555 Garden Grove Blvd Ste 200
Westminster, CA 92683-8234
Phone (714) 859-5732
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HA8404 | CA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serendipity Hearing Inc | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539648000000",
"number": "1194291245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5555 GARDEN GROVE BLVD STE 200",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926838234",
"telephone_number": "714-859-5732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 MAGNOLIA AVE STE 208",
"city": "CORONA",
"state": "CA",
"postal_code": "928793157",
"telephone_number": "951-736-1630",
"fax_number": "951-736-8964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "VANNESSA",
"credential": "HAD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-16",
"last_updated": "2018-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Hearing Instrument Specialist",
"state": "CA",
"license": "HA8404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.