Active NPI
Alex Duc Pham, MD
- Anesthesiology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A186147
- Practice address
- 757 Westwood PLZ
Los Angeles, CA 90095-8358 - Phone
- (310) 267-8653
- NPI assigned
- Mar 28, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | A186147 | CA | |
| Anesthesiology Physician | 207L00000X | A186147 | CA | Primary |
Addresses
Primary practice location
757 Westwood PLZ
Los Angeles, CA 90095-8358
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Louisiana State University School of Medicine in New Orleans, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1301 Summer Lee Dr
Rockwall, TX 75032-5452
Phone (214) 306-4116
2811 E 15TH St
102 Seva Med Care
Tulsa, OK 74104-5242
Phone (918) 935-3240
Hospital & facility affiliations
- Hunt Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.46 of 100
- Quality
- 55.47
- Improvement activities
- 40
- Cost
- 41.21
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Laminectomy or laminotomy (partial removal of spine bones) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A186147 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seva Pain and Wellness | Pain Medicine | Current | Accepting new patients |
| Seva Pain and Wellness | Pain Medicine | Current | Accepting new patients |
| Seva Pain and Wellness | Pain Medicine | Past | Accepting new patients |
Locations
2811 E 15th St
Ste 102
Tulsa, OK 74104
Phone (918) 701-2000
6048 S Sheridan Rd
Ste A
Tulsa, OK 74145
Phone (918) 935-3240
1854 Lakepointe Dr
Lewisville, TX 75057
Phone (214) 306-4116
1850 Lakepointe Dr
Ste 700
Lewisville, TX 75057
Phone (214) 306-4116
1301 Summer Lee Dr
Rockwall, TX 75032
Phone (214) 306-4116
Interoperability endpoints
- apham1181062@direct.uclahealth.org
Organizations & group practices 3
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.
-
- Pain Medicine (Anesthesiology) Physician
- Corrales, NM
- NPI 1114870649
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greenville, TX
- NPI 1598750721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692921600000",
"number": "1336600758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "757 WESTWOOD PLZ",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900958358",
"telephone_number": "310-267-8653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "ALEX",
"middle_name": "DUC",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-28",
"last_updated": "2023-08-25",
"certification_date": "2023-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "CA",
"license": "A186147",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A186147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.