Active NPI
Patrick Pham, OTR/L
- Occupational Therapist
- Temecula, CA
National Provider Identifier
1417833393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 27247
- 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
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 |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 27247 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kimberly J Evans Otr L CHT Professional Corporation | Occupational Therapist | Current | Accepting new patients |
| Kimberly J Evans Otr L CHT Professional Corporation | Occupational Therapist | Current | 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.
-
- Hand Occupational Therapist
- Orange, CA
- NPI 1871022756
-
- Occupational Therapist
- Temecula, CA
- NPI 1346001005
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.