Individual provider Active NPI

Vincent Minh Pham, OD

  • Optometrist
  • Ontario, CA
National Provider Identifier
1336719046
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10236T Issued in TX
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

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.61 of 100Reported as group
Quality
81.78
Promoting interoperability
74
Improvement activities
40
Cost
78.59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35001-TLGCAMDOptometrist
10236TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.