Active NPI
Romance Pham
- Chiropractor
- San Francisco, CA
National Provider Identifier
1417306762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 33596
- Practice address
- 4630 Geary Blvd
Ste 307
San Francisco, CA 94118-2937 - Phone
- (415) 742-4782
- Fax
- (415) 742-4928
- NPI assigned
- Jun 7, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 33596 | CA | Primary |
Addresses
Primary practice location
4630 Geary Blvd
Ste 307
San Francisco, CA 94118-2937
Mailing address
4630 Geary Blvd
Ste 307
San Francisco, CA 94118-2937
Phone (415) 699-8173
Other names 1
- Dr. Roman Pham
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523318400000",
"number": "1417306762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4630 GEARY BLVD",
"address_2": "STE 307",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941182937",
"telephone_number": "415-699-8173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4630 GEARY BLVD",
"address_2": "STE 307",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941182937",
"telephone_number": "415-742-4782",
"fax_number": "415-742-4928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "ROMANCE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-07",
"last_updated": "2018-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "33596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROMAN",
"last_name": "PHAM",
"prefix": "DR.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.