Individual provider Active NPI

Patrick Pham, OTR/L

  • Occupational Therapist
  • Temecula, CA
National Provider Identifier
1417833393
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
27247 Issued in CA
Practice address
41593 Winchester Rd Ste 216
Temecula, CA 92590-4841
Phone
(714) 831-5599
NPI assigned
Aug 14, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 27247 CA Primary

Addresses

Primary practice location

41593 Winchester Rd Ste 216
Temecula, CA 92590-4841

Mailing address

817 S Anaheim Blvd Unit 103
Anaheim, CA 92805-5295

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251208002416 CA Practitioner - Occupational Therapist in Private Practice 1456845445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

817 S Anaheim Blvd
Unit 103
Anaheim, CA 92805-5295

817 S Anaheim Blvd Unit
Suite 103
Anaheim, CA 92805-5295

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27247CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kimberly J Evans Otr L CHT Professional Corporation Occupational Therapist CurrentSince Nov 24, 2025 Accepting new patients
Kimberly J Evans Otr L CHT Professional Corporation Occupational Therapist CurrentSince Nov 24, 2025 Accepting new patients

Locations

1740 W Katella Ave
Ste D
Orange, CA 92867
Phone (714) 831-5599

41593 Winchester Rd
Ste 216
Temecula, CA 92590
Phone (714) 831-5599

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1417833393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 S ANAHEIM BLVD UNIT 103",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928055295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41593 WINCHESTER RD STE 216",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925904841",
            "telephone_number": "714-831-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "PATRICK",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "27247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.