Individual provider Active NPI

Timothy Anh Pham, MD

  • Allergy & Immunology Physician
  • Arcadia, CA
National Provider Identifier
1457549826
Registry record updated May 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
G77052 Issued in CA
Practice address
301 W Huntington Dr
206
Arcadia, CA 91007-3462
Phone
(626) 461-0360
Fax
(626) 461-0371
NPI assigned
Oct 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X G77052 CA Primary

Addresses

Primary practice location

301 W Huntington Dr
206
Arcadia, CA 91007-3462

Mailing address

301 W Huntington Dr
Ste 206
Arcadia, CA 91007-1534
Phone (626) 461-0360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120709000708 CA Practitioner - Allergy/Immunology 1153586581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of California, Irvine, California College of Medicine, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

301 W Huntington Dr
Suite 206
Arcadia, CA 91007-1534

301 W Huntington Dr
Suite 212
Arcadia, CA 91007-1533
Phone (626) 461-0360

Merit-based Incentive Payment System (MIPS)

Final score
94.17 of 100Reported as individual
Quality
88.35
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G77052CAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Timothy a Pham, M.D., a Medical Corporation CurrentSince Jul 7, 2012 Accepting new patients
Usc Arcadia Hospital Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
Chugo E. Rinoie DPM Corp PastSince Feb 2, 2025 Accepting new patients

Locations

301 W Huntington Dr
Ste 212
Arcadia, CA 91007
Phone (626) 461-0360

301 W Huntington Dr
Ste 206
Arcadia, CA 91007
Phone (626) 461-0360

Organizations & group practices 4

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": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496188800000",
    "number": "1457549826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W HUNTINGTON DR",
            "address_2": "STE 206",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910071534",
            "telephone_number": "626-461-0360",
            "fax_number": "626-461-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W HUNTINGTON DR",
            "address_2": "206",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910073462",
            "telephone_number": "626-461-0360",
            "fax_number": "626-461-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "TIMOTHY",
        "middle_name": "ANH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-10",
        "last_updated": "2017-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "G77052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.