Tam-Nguyen Thi Pham, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

G81625 Issued in CA

Practice address

12900A Garden Grove Blvd
122
Garden Grove, CA 92843-2023

Phone

(714) 636-0342

Fax

(714) 636-0391

NPI assigned

Apr 30, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1306066410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 775",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928420775",
            "telephone_number": "714-636-0342",
            "fax_number": "714-636-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12900A GARDEN GROVE BLVD",
            "address_2": "122",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928432023",
            "telephone_number": "714-636-0342",
            "fax_number": "714-636-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "TAM-NGUYEN",
        "middle_name": "THI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-30",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G81625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00205661",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G816250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phat Pham
• Princess Pham
• Ryan Huy Pham, PHARM.D
• San H Pham, MA
• Tam Van Pham
• Thai Henry Pham, PHARMD
• Theresa Pham, RN
• Thu Thuy Thi Pham
• Tiffany Thuy Pham, O.D.
• Trinh Thuy Lan Pham

• Anesthesiology Physician in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.