Individual provider Active NPI

Elizabeth Hang Pham

  • Family Nurse Practitioner
  • Downey, CA
National Provider Identifier
1366193120
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95015779 Issued in CA
Practice address
11525 Brookshire Ave Ste 202
Downey, CA 90241-4983
Phone
(562) 869-1201
NPI assigned
Jan 13, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95015779 CA
Family Nurse Practitioner 363LF0000X 95015779 CA Primary

Addresses

Primary practice location

11525 Brookshire Ave Ste 202
Downey, CA 90241-4983

Mailing address

4140 W 190TH St
Torrance, CA 90504-5513
Phone (310) 423-3333

Other practice location 1

8767 Wilshire Blvd Fl 2
Beverly Hills, CA 90211-2714
Phone (310) 248-7000

Other practice location 2

10100 Culver Blvd
Culver City, CA 90232-3175
Phone (310) 423-3333

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230706001692 CA Practitioner - Nurse Practitioner 8325407505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

11525 Brookshire Ave
Suite 202
Downey, CA 90241-4983
Phone (562) 869-1201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Starling Oncology Ca, a Professional Corporation CurrentSince Jan 26, 2024 Accepting new patients
The Oncology Institute Ca, a Professional Corporation CurrentSince Jan 26, 2024 Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients
Keck Medical Center of Usc Past Accepting new patients

Locations

18000 Studebaker Rd
Ste 800
Cerritos, CA 90703

900 S Main St
Ste 204
Corona, CA 92882
Phone (951) 372-2400

11525 Brookshire Ave
Ste 202
Downey, CA 90241
Phone (562) 242-2070

11100 Warner Ave
Ste 214
Fountain Vly, CA 92708
Phone (714) 594-7820

6121 N Thesta St
Ste 204
Fresno, CA 93710
Phone (559) 438-7390

3300 E South St
Ste 304
Lakewood, CA 90805
Phone (562) 232-0550

399 E Highland Ave
Ste 501
Sn Bernrdno, CA 92404
Phone (909) 982-4252

425 Haaland Dr
Ste 103
Thousand Oaks, CA 91361
Phone (805) 345-2020

2067 W Vista Way
Ste 295
Vista, CA 92083
Phone (526) 735-3226

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: elizabeth.pham@theoncologyinstitute.ikm.direct-ci.com

Organizations & group practices 4

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": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1366193120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 W 190TH ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905045513",
            "telephone_number": "310-423-3333",
            "fax_number": "310-423-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11525 BROOKSHIRE AVE STE 202",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902414983",
            "telephone_number": "562-869-1201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8767 Wilshire Blvd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902112714",
            "country_code": "US",
            "telephone_number": "310-248-7000",
            "fax_number": "310-248-7033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10100 Culver Blvd",
            "address_purpose": "LOCATION",
            "city": "Culver City",
            "state": "CA",
            "postal_code": "902323175",
            "country_code": "US",
            "telephone_number": "310-423-3333",
            "fax_number": "310-423-1300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "ELIZABETH",
        "middle_name": "HANG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-13",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95015779",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95015779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.