Kim Nguyen N Pham, OMD, LA.C

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC6249 Issued in CA

Practice address

9431 Edinger Ave
Westminster, CA 92683-7425

Phone

(714) 839-8400

Fax

(714) 839-8230

NPI assigned

Feb 25, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tan Dinh Ngo MD Inc

  dba La Vang Medical Center

  • Health Service Clinic/Center
  • Westminster, CA
  • NPI 1275755365
  NPD (past)

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235520000000",
    "number": "1467692871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9431 EDINGER AVE",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926837425",
            "telephone_number": "714-839-8400",
            "fax_number": "714-839-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9431 EDINGER AVE",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926837425",
            "telephone_number": "714-839-8400",
            "fax_number": "714-839-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "KIM NGUYEN",
        "middle_name": "N",
        "credential": "OMD, LA.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-25",
        "last_updated": "2009-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC6249",
            "primary": true
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "CA",
            "license": "AC6249",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Duc Pham, PHARM D.
• Kelly Pham, OD
• Kevin Pham, DDS
• Khanh Gia Pham, MD
• Khoa Dang Pham
• Lan Pham
• Lan N Pham, D.D.S.
• Loan Anh Thi Pham, RN
• Minh-Duc Dinh Pham, D.D.S
• Nam H Pham

• Acupuncturist in Westminster, CA
• Providers in Westminster, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; 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.