Individual provider Active NPI

Huong T Pham, OD

  • Optometrist
  • Garden Grove, CA
National Provider Identifier
1376619023
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10462 T Issued in CA
Practice address
14251 Euclid St
# F101
Garden Grove, CA 92843-4957
Phone
(714) 265-2197
Fax
(714) 265-2411
NPI assigned
Nov 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10462 T CA Primary

Addresses

Primary practice location

14251 Euclid St
# F101
Garden Grove, CA 92843-4957

Mailing address

14251 Euclid St
# F101
Garden Grove, CA 92843-4957
Phone (714) 265-2197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10462 TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Huong Pham Optometry Corporation Past Accepting new patients
Dieu Nga Truong & Huong Pham Optometrist Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376619023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14251 EUCLID ST",
            "address_2": "# F101",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434957",
            "telephone_number": "714-265-2197",
            "fax_number": "714-265-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14251 EUCLID ST",
            "address_2": "# F101",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434957",
            "telephone_number": "714-265-2197",
            "fax_number": "714-265-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "HUONG",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10462 T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.