An T Pham, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A67904 Issued in CA

Practice address

600 International Blvd Ste 102
Oakland, CA 94606-2993

Phone

(510) 208-3540

Fax

(510) 208-3553

NPI assigned

Dec 11, 2006

Last updated

Sep 12, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: apham14778@hisp.ehr.sutterhealth.org

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.

• International Pediatric Medical Group Inc

  • Pediatrics Physician
  • Oakland, CA
  • NPI 1861591752
  NPD (past) Authorized official
• Alta Bates Summit Medical Center

  dba Merritt Peralta Insititute

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Oakland, CA
  • NPI 1043358542
  NPD (past)
• Children's Hospital & Research Center at Oakland

  dba UCSF Benioff Children's Hospital Oakland

  • General Acute Care Hospital
  • Oakland, CA
  • NPI 1003961251
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189555200000",
    "number": "1205996048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 INTERNATIONAL BLVD STE 102",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946062993",
            "telephone_number": "510-208-3540",
            "fax_number": "510-208-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 INTERNATIONAL BLVD STE 102",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946062993",
            "telephone_number": "510-208-3540",
            "fax_number": "510-208-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "AN",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A67904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A679040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Alan Pfost, OD
• PG Empire LLC
• Frank Phakeovilay, COUNSELOR II AOD-CER
• Brian Phalen, RN
• An Hong Pham
• Cristina Phong Ngoc Pham
• Diana Pham, OD
• Dung Quoc Pham, D.D.S.
• Duyen T. Pham, M.D.
• Dylan Pham

• Pediatrics Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.