Organization Active NPI

San Diego and Orange County Lasik Institute

  • Ophthalmology Physician
  • San Diego, CA
National Provider Identifier
1255518312
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A87039 Issued in CA
Legal business name
SAN DIEGO AND ORANGE COUNTY LASIK INSTITUTE
Practice address
2020 Camino del Rio N Ste 808
San Diego, CA 92108-1546
Phone
(619) 298-2733
NPI assigned
Jan 30, 2008
Last updated
May 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Authorized official

Name
Dr. Tony Huy Pham, M.D.NPI 1700844370
Title
Owner
Phone
(619) 298-2733

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X A87039 CA Primary

Addresses

Primary practice location

2020 Camino del Rio N Ste 808
San Diego, CA 92108-1546

Mailing address

2020 Camino del Rio N Ste 808
San Diego, CA 92108-1546
Phone (619) 298-2733

Other names 1

  • Tony Pham, M.D. Other name

National Provider Directory

National Provider Directory

Locations

15875 Laguna Canyon Rd
Ste 360
Irvine, CA 92618
Phone (858) 335-2266

3500 Barranca Pkwy
Ste 150
Irvine, CA 92606
Phone (949) 480-0150

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1255518312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 CAMINO DEL RIO N STE 808",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081546",
            "telephone_number": "619-298-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 CAMINO DEL RIO N STE 808",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081546",
            "telephone_number": "619-298-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO AND ORANGE COUNTY LASIK INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "HUY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-298-2733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A87039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tony Pham, M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.

Verify at the official NPI Registry.