Xuan T Pham OD a Professional Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

11435 Issued in CA

Legal business name

XUAN T PHAM OD A PROFESSIONAL CORPORATION

Practice address

6176 Bollinger Rd
San Jose, CA 95129-3000

Phone

(408) 265-7466

Fax

(408) 996-1419

NPI assigned

Apr 22, 2017

Last updated

Mar 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Xuan T Pham, ODNPI 1972608008

Title

President

Phone

(408) 265-7466

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Xuan T Pham, O.D.

  • Optometrist
  • San Jose, CA
  • NPI 1972608008
  Authorized official Same address or phone

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

{
    "created_epoch": "1492819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1316472814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6176 BOLLINGER RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951293000",
            "telephone_number": "408-265-7466",
            "fax_number": "408-996-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6176 BOLLINGER RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951293000",
            "telephone_number": "408-265-7466",
            "fax_number": "408-996-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XUAN T PHAM OD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-22",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "XUAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-265-7466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jing Q. Xu, MD
• Jinghua Xu
• Yi Xu, D.D.S.
• Yifei Xu
• Ying Xu, ACUPUNCTURE
• Xylem Behavior, LLC (Formerly Focus Behavior Consulting, LLC)
• Y8 Technologies Inc (Y8)
• Rene Yabar, DDS
• Craig Kenneth Yabumoto, PHARM D
• Naveen Yadav, M.D.

• Optometrist in San Jose, CA
• Providers in San Jose, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.