Individual provider Active NPI

John Vinh Van Pham

  • Family Medicine Physician
  • San Jose, CA
National Provider Identifier
1326421827
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A17004 Issued in CA
Practice address
1642 E Capitol Expy
San Jose, CA 95121-1800
Phone
(408) 445-3400
Fax
(408) 308-3874
NPI assigned
Jul 1, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A17004 CA Primary

Addresses

Primary practice location

1642 E Capitol Expy
San Jose, CA 95121-1800

Mailing address

1642 E Capitol Expy
San Jose, CA 95121-1800
Phone (408) 445-3400

Other practice location 1

2039 Forest Ave Ste 105
San Jose, CA 95128-4815
Phone (408) 947-2929

Other practice location 2

1333 Meridian Ave
San Jose, CA 95125-5212
Phone (408) 445-3400

Other practice location 3

455 OConnor Dr
San Jose, CA 95128-1633
Phone (408) 283-7676

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190702003547 CA Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 4486988912 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1642 E Capitol Expy
San Jose, CA 95121-1800
Phone 40844534003730

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
61 of 100Reported as group
Quality
59.41
Promoting interoperability
0
Improvement activities
40
Cost
71.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara Family Medicine CurrentSince Nov 30, 2021 Accepting new patients
County of Santa Clara CurrentSince Nov 30, 2021 Accepting new patients
County of Santa Clara CurrentSince Nov 30, 2021 Accepting new patients
Indian Health Center of Santa Clara Valley Current Accepting new patients
County of Santa Clara Current Accepting new patients
Indian Health Center of Santa Clara Valley CurrentSince Jan 3, 2022 Accepting new patients
County of Santa Clara CurrentSince Nov 30, 2021 Accepting new patients
Asian Americans for Community Involvement of Santa Clara County, Inc Past Accepting new patients

Locations

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

2400 Moorpark Ave
Ste 300
San Jose, CA 95128
Phone (408) 975-2763

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

1333 Meridian Ave
San Jose, CA 95125

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

1642 E Capitol Expy
San Jose, CA 95121
Phone (408) 270-0112

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

2400 Moorpark Ave
Ste 319
San Jose, CA 95128
Phone 4089752730428

455 Oconnor Dr
Ste 200
San Jose, CA 95128
Phone (408) 283-7666

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jpham582743@direct.ochin.org

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1326421827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1642 E CAPITOL EXPY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211800",
            "telephone_number": "408-445-3400",
            "fax_number": "408-308-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 E CAPITOL EXPY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211800",
            "telephone_number": "408-445-3400",
            "fax_number": "408-308-3874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2039 Forest Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951284815",
            "country_code": "US",
            "telephone_number": "408-947-2929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1333 Meridian Ave",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951255212",
            "country_code": "US",
            "telephone_number": "408-445-3400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 OConnor Dr",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951281633",
            "country_code": "US",
            "telephone_number": "408-283-7676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "JOHN",
        "middle_name": "VINH VAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-01",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A17004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.