Active NPI
Michael Pham
- Professional Counselor
- Modesto, CA
National Provider Identifier
1447770599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- ASW134000
- Practice address
- 1620 N Carpenter Rd Ste D41
Modesto, CA 95351-1160 - Phone
- (209) 577-1903
- NPI assigned
- Jun 20, 2017
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | ASW134000 | CA | Primary |
Addresses
Primary practice location
1620 N Carpenter Rd Ste D41
Modesto, CA 95351-1160
Mailing address
1620 N Carpenter Rd Ste D41
Modesto, CA 95351-1160
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW134000 | CA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Clinics | Current | Accepting new patients |
Locations
1620 N Carpenter Rd
Ste D41
Modesto, CA 95351
Phone (209) 523-3710
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Modesto, CA
- NPI 1073202248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764806400000",
"number": "1447770599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 N CARPENTER RD STE D41",
"city": "MODESTO",
"state": "CA",
"postal_code": "953511160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 N CARPENTER RD STE D41",
"city": "MODESTO",
"state": "CA",
"postal_code": "953511160",
"telephone_number": "209-577-1903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-20",
"last_updated": "2025-12-04",
"certification_date": "2025-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "ASW134000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.