Lighthouse Anesthesia Medical Group

Primary specialty

SpecialistTaxonomy code 174400000X

License

G81625 Issued in CA

Legal business name

LIGHTHOUSE ANESTHESIA MEDICAL GROUP

Practice address

12601 Garden Grove Blvd
Garden Grove, CA 92843-1908

Phone

(714) 537-5160

NPI assigned

Jan 25, 2007

Last updated

Jun 27, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tam-Nguyen Thi Pham, M.D.

Title

Owner

Phone

(714) 636-0343

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Lighthouse Anesthesia Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tam-Nguyen T Pham MD Inc

  • Anesthesiology Physician
  • Anaheim, CA
  • NPI 1235443482
  NPD tax ID

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1447306543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 775",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928420775",
            "telephone_number": "714-636-0343",
            "fax_number": "714-636-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12601 GARDEN GROVE BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431908",
            "telephone_number": "714-537-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE ANESTHESIA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "TAM-NGUYEN",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-636-0343",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G81625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G816250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Life & Health Acupuncture & Herbs
• Life Care Senior Manor LLC
• Mercy Ligate, MASTERS DEGREE
• Mason Luke Liger
• David Boyd Light, N.P.
• Lily a Namsinh DDS Apc.
• Euil Lim, D.O
• Gerald Lim, M.D.
• In Sook Lim, D.O.M
• Soohyoun Lim

• Specialist in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.