Dalena Ngoc Pham, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

12042 Reichling LN
Whittier, CA 90606-2561

Phone

(562) 309-1300

NPI assigned

Aug 31, 2022

Last updated

Jan 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

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  • NPI 1407581036
  Medicare reassignment
• Refael Medical, Inc.

  • General Practice Physician
  • Beverly Hills, CA
  • NPI 1003502386
  Medicare reassignment

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673049600000",
    "number": "1295455053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12042 REICHLING LN",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906062561",
            "telephone_number": "562-309-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12042 REICHLING LN",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906062561",
            "telephone_number": "562-309-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "DALENA",
        "middle_name": "NGOC",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2023-01-07",
        "certification_date": "2023-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyson Banales Pfeifer, CCC-SLP
• Lauren B Pfeifroth
• Richard Phair, M.D.
• Andrew Pham, PHARMD
• Andrew Pham, MD
• Hoang Xuan Pham, MD
• Kha John T Pham
• Kim Thi Pham
• Michelle Mendoza Pham
• Steven Thien Pham, PHARM. D

• Physician Assistant in Whittier, CA
• Providers in Whittier, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.