Individual provider Active NPI

Alex Duc Pham, MD

  • Anesthesiology Physician
  • Los Angeles, CA
National Provider Identifier
1336600758
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A186147 Issued in CA
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

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240911003438 TX Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 1759617772 Reassigns benefits to 1 organization
I20260521001658 OK Practitioner - AnesthesiologyPractitioner - Pain Management 1759617772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Louisiana State University School of Medicine in New Orleans, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seva Pain and WellnessGroup PAC ID 8820328719, 15 clinicians

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 Hospital, Greenville, TX, CCN 450352

Merit-based Incentive Payment System (MIPS)

Final score
73.46 of 100Reported as group
Quality
55.47
Improvement activities
40
Cost
41.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
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

LicenseStateTypeSpecialty
A186147CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seva Pain and Wellness Pain Medicine CurrentSince Aug 16, 2024 Accepting new patients
Seva Pain and Wellness Pain Medicine CurrentSince Aug 16, 2024 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.