Active NPI
Charles Pham
- Internal Medicine Physician
- Torrance, CA
National Provider Identifier
1477963049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A137659
- Practice address
- 1000 W Carson St
Box 400
Torrance, CA 90509-2910 - Phone
- (310) 222-2401
- NPI assigned
- May 5, 2014
- Last updated
- Jan 8, 2020
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A137659 | CA | Primary |
Addresses
Primary practice location
1000 W Carson St
Box 400
Torrance, CA 90509-2910
Mailing address
1000 W. Carson Street
Box 400
Torrance, CA 90509-2910
Phone (310) 222-2401
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180914002499 | CA | Order and Referring Only - Internal Medicine | 6002167921 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A137659 | CA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578441600000",
"number": "1477963049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 W. CARSON STREET",
"address_2": "BOX 400",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905092910",
"telephone_number": "310-222-2401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 W CARSON ST",
"address_2": "BOX 400",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905092910",
"telephone_number": "310-222-2401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "CHARLES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-05",
"last_updated": "2020-01-08",
"certification_date": "2020-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A137659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
- Pevnick & Wassermans at Home Optometric Srvcs Inc
- Jillian Elise Pexa, PSY.D.
- PF Development 8, LLC (Kindred at Home-Torrance)
- Pham Hilario Dental Partnership (SmileWell Family Dentistry and (&) Periodontics)
- Andrew Pham
- Denise V Pham, PHARM. D.
- Felix Pham, PHARMD
- Helen Pham, PA-C
- Hung Pham
- John Pham, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.