Active NPI
Melinda Pham, DC
- Chiropractor
- Tustin, CA
National Provider Identifier
1447958277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC36580
- Practice address
- 14591 Newport Ave Ste 100
Tustin, CA 92780-6026 - Phone
- (714) 443-0707
- NPI assigned
- Feb 21, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC36580 | CA | Primary |
Addresses
Primary practice location
14591 Newport Ave Ste 100
Tustin, CA 92780-6026
Mailing address
14591 Newport Ave Ste 100
Tustin, CA 92780-6026
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC36580 | CA | MD | Chiropractor |
| 36580 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health in Balance Integrative Medicine Inc. | Chiropractor | Past | Accepting new patients |
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.
-
- Physical Medicine & Rehabilitation Physician
- Laguna Beach, CA
- NPI 1396137097
Chiropractor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688688000000",
"number": "1447958277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14591 NEWPORT AVE STE 100",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927806026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14591 NEWPORT AVE STE 100",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927806026",
"telephone_number": "714-443-0707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "MELINDA",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-21",
"last_updated": "2023-07-07",
"certification_date": "2023-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC36580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.