Active NPI
Vincent Minh Pham, OD
- Optometrist
- Ontario, CA
National Provider Identifier
1336719046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 10236T
- Practice address
- 3155D Sedona CT
Ontario, CA 91764-6555 - Phone
- (909) 698-9780
- NPI assigned
- Jun 26, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 35001-TLG | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Optometrist | 152W00000X | 10236T | TX | Primary |
Addresses
Primary practice location
3155D Sedona CT
Ontario, CA 91764-6555
Mailing address
2876 Sawgrass Dr
Santa Ana, CA 92706-1145
Phone (714) 414-3665
Other practice location 1
4220 Von Karman Ave Ste 100
Newport Beach, CA 92660-2056
Phone (949) 284-7428
Medicare participation
Medicare enrollment files- 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: No
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.61 of 100
- Quality
- 81.78
- Promoting interoperability
- 74
- Improvement activities
- 40
- Cost
- 78.59
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35001-TLG | CA | MD | Optometrist |
| 10236T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas S. Tooma, M.D. a Professional Corporation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Newport Beach, CA
- NPI 1386764983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749600000000",
"number": "1336719046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2876 SAWGRASS DR",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927061145",
"telephone_number": "714-414-3665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3155D SEDONA CT",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917646555",
"telephone_number": "909-698-9780"
}
],
"practiceLocations": [
{
"address_1": "4220 Von Karman Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Newport Beach",
"state": "CA",
"postal_code": "926602056",
"country_code": "US",
"telephone_number": "949-284-7428",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHAM",
"first_name": "VINCENT",
"middle_name": "MINH",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-26",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "35001-TLG",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "10236T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.