Ngoc Pham

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95021209 Issued in CA

Practice address

13342 Wilson St
Garden Grove, CA 92844-1816

Phone

(714) 293-4312

NPI assigned

Mar 17, 2023

Last updated

Mar 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oc Progressive Recovery Inc.Group PAC ID 7214207190, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Anaheim Community Hospital, LLC Hospital, Anaheim, CA, CCN 050854

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oc Progressive Recovery Inc

  • Psychiatry Physician
  • Orange, CA
  • NPI 1003340217
  Medicare reassignment Care Compare group NPD

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

• Anaheim Community Hospital, LLC

  • General Acute Care Hospital
  • Anaheim, CA
  • NPI 1902479447
  Care Compare affiliation

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1366144180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8620 MEADOW BROOK AVE UNIT A",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928443412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13342 WILSON ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441816",
            "telephone_number": "714-293-4312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3350 W Ball Rd",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928043710",
            "country_code": "US",
            "telephone_number": "714-243-9010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "NGOC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95021209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Le Pham, PHARMD
• Leonardo Pham
• Lillian Pham, NP
• Long Pham
• Matthew Pham
• Nguyen Pham
• Phat Pham
• Princess Pham
• Ryan Huy Pham, PHARM.D
• San H Pham, MA

• Psychiatric/Mental Health Nurse Practitioner in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.