Thanh T Pham, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95030531 Issued in CA

Practice address

3851 Katella Ave Ste 301
Los Alamitos, CA 90720-3397

Phone

(562) 799-3888

NPI assigned

Jun 2, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pacific Comprehensive Pain Management Inc

  • Pain Medicine (Anesthesiology) Physician
  • Los Alamitos, CA
  • NPI 1679718944
  NPD (past)

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1295628675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7377 LA PALMA AVE UNIT 6875",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906228163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 KATELLA AVE STE 301",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203397",
            "telephone_number": "562-799-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "THANH",
        "middle_name": "T",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95134368",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95030531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christi Ann Peterson, D.M.D.
• Petrichor Healing Family Therapy, Inc.
• Andrew Pham, DDS
• Kaylyn Bich Hong Pham, PHARMD
• Lee Duong Pham, DDS, MD, MS
• Tina Thi Pham, PTA
• Vu Q. Phan, MD
• Phillip Cleaver Marriage and Family Therapy Inc
• Pih Health Physicians
• Jocelyn E.U. Pijpaert

• Nurse Practitioner in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.