Individual provider Active NPI

Amy Doan Pham, D.C

  • Chiropractor
  • Milpitas, CA
National Provider Identifier
1255464814
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25782 Issued in CA
Practice address
500 E Calaveras Blvd
104
Milpitas, CA 95035-7703
Phone
(408) 262-6620
Fax
(408) 262-6286
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC25782 CA Primary

Addresses

Primary practice location

500 E Calaveras Blvd
104
Milpitas, CA 95035-7703

Mailing address

500 E Calaveras Blvd
104
Milpitas, CA 95035-7703
Phone (408) 262-6620

Other names 1

  • Dr. Amy-Trinh Doan Pham Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140320001501 CA Practitioner - Chiropractic 5698906444 Practice locations: Milpitas, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC25782CAMDChiropractor
25782CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eichhorst Chiropractic Corporation Chiropractor 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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255464814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E CALAVERAS BLVD",
            "address_2": "104",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950357703",
            "telephone_number": "408-262-6620",
            "fax_number": "408-262-6286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E CALAVERAS BLVD",
            "address_2": "104",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950357703",
            "telephone_number": "408-262-6620",
            "fax_number": "408-262-6286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "AMY",
        "middle_name": "DOAN",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY-TRINH",
            "last_name": "PHAM",
            "middle_name": "DOAN",
            "prefix": "DR.",
            "credential": "D.C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Milpitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.