Individual provider Active NPI

Hang Thai Pham, DC

  • Chiropractor
  • Anaheim, CA
National Provider Identifier
1215520168
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC36037 Issued in CA
Practice address
421 N Brookhurst St Ste 112
Anaheim, CA 92801-5618
Phone
(949) 648-1802
NPI assigned
Feb 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC36037 CA Primary

Addresses

Primary practice location

421 N Brookhurst St Ste 112
Anaheim, CA 92801-5618

Mailing address

1100 Las Lomas Dr Unit C
La Habra, CA 90631-2252
Phone (714) 837-2880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220203000644 CA Practitioner - Chiropractic 3678966298 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC36037CAMDChiropractor
36037CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chen Eastvale Chiropractic Corporation Chiropractor CurrentSince Jan 14, 2024 Accepting new patients
Pham Chiropractic Corporation CurrentSince Oct 16, 2021 Accepting new patients

Locations

421 N Brookhurst St
Ste 112
Anaheim, CA 92801
Phone (408) 680-7208

14252 Schleisman Rd
Ste 202
Eastvale, CA 92880
Phone (951) 268-0794

Organizations & group practices 2

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": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1215520168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 LAS LOMAS DR UNIT C",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906312252",
            "telephone_number": "714-837-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 N BROOKHURST ST STE 112",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015618",
            "telephone_number": "949-648-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "HANG",
        "middle_name": "THAI",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-11",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC36037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.