Individual provider Active NPI

Huan Tri Pham

  • Physician Assistant
  • Westminster, CA
National Provider Identifier
1366256166
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA65843 Issued in CA
Practice address
9024 Bolsa Ave
Westminster, CA 92683-5531
Phone
(626) 573-9003
NPI assigned
Feb 3, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA65843 CA Primary

Addresses

Primary practice location

9024 Bolsa Ave
Westminster, CA 92683-5531

Mailing address

9024 Bolsa Ave
Westminster, CA 92683-5531
Phone (714) 899-2911

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
I20260211002087 CA Practitioner - Physician Assistant 4981183738 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Solomon Medical IncGroup PAC ID 4385041334, 31 clinicians

Practice addresses (Care Compare)

1990 Fruitdale Ave
San Jose, CA 95128-2709
Phone (408) 998-8447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
65843CAMDMental Health Counselor
PA65843CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Solomon Physicians Group PC CurrentSince Feb 1, 2026 Accepting new patients
Solomon Medical Inc CurrentSince Jan 1, 2026 Accepting new patients
Solomon Medical Inc CurrentSince Jan 1, 2026 Accepting new patients

Locations

1501 Skyline Dr
Monterey, CA 93940
Phone (831) 200-9651

2530 Solace Pl
Mountain View, CA 94040
Phone (650) 502-1800

1120 Forest Ave
Pacific Grove, CA 93950
Phone (831) 200-9651

637 E Romie Ln
Salinas, CA 93901
Phone (831) 424-0687

1990 Fruitdale Ave
San Jose, CA 95128
Phone (408) 998-8447

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": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1366256166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9024 BOLSA AVE",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835531",
            "telephone_number": "714-899-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9024 BOLSA AVE",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835531",
            "telephone_number": "626-573-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "HUAN",
        "middle_name": "TRI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-03",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA65843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

Verify at the official NPI Registry.