Ngoc Minh Pham, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A34924 Issued in CA

Practice address

2363 Ulric St
Suite B
San Diego, CA 92111-6447

Phone

(858) 268-1747

Fax

(858) 268-4172

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Ngoc Minh Pham MD & Suong My Tuong MD a Medical Corporation

  • Family Medicine Physician
  • San Diego, CA
  • NPI 1114098886
  NPD (past) Authorized official

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376653287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2363 ULRIC ST",
            "address_2": "SUITE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921116447",
            "telephone_number": "858-268-1747",
            "fax_number": "858-268-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2363 ULRIC ST",
            "address_2": "SUITE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921116447",
            "telephone_number": "858-268-1747",
            "fax_number": "858-268-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "NGOC",
        "middle_name": "MINH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A34924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A349340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary-Jo Pham
• Minh-Tu Pham, FNP-C
• My-Hang Thi Pham, PA-C
• Mymy Pham
• Nghia Minh Pham, DDS
• Nhu To Pham
• Nina Nguyen Pham
• Paul Pham
• Paul Anh Pham, EDS, PPS
• Peter Pham

• Family Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Family Medicine Physician in California

• 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.