Active NPI
Nga Van Pham, M.D, Inc
- Internal Medicine Physician
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A69545
- Legal business name
- NGA VAN PHAM, M.D, INC
- Practice address
- 1569 Lexann Ave
Suite 112
San Jose, CA 95121-1794 - Phone
- (408) 532-0105
- Fax
- (408) 532-0106
- NPI assigned
- Sep 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nga Van Pham, M.D
- Title
- President
- Phone
- (408) 532-0105
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A69545 | CA | Primary |
Addresses
Primary practice location
1569 Lexann Ave
Suite 112
San Jose, CA 95121-1794
Mailing address
1569 Lexann Ave
Suite 112
San Jose, CA 95121-1794
Phone (408) 532-0105
National Provider Directory
National Provider DirectoryLocations
1569 Lexann Ave
Ste 112
San Jose, CA 95121
Phone (408) 532-0105
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- Internal Medicine Physician
- San Jose, CA
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- NPI 1609927722
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- Family Medicine Physician
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- NPI 1912167834
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- Pediatrics Physician
- Milpitas, CA
- NPI 1760660625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262822400000",
"number": "1245427962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1569 LEXANN AVE",
"address_2": "SUITE 112",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951211794",
"telephone_number": "408-532-0105",
"fax_number": "408-532-0106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1569 LEXANN AVE",
"address_2": "SUITE 112",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951211794",
"telephone_number": "408-532-0105",
"fax_number": "408-532-0106"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NGA VAN PHAM, M.D, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-26",
"last_updated": "2010-01-07",
"status": "A",
"authorized_official_last_name": "PHAM",
"authorized_official_first_name": "NGA",
"authorized_official_middle_name": "VAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "408-532-0105",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A69545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.