Lillian Pham, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

NP95000609 Issued in CA

Practice address

8972 Poinsettia LN
Garden Grove, CA 92841-1001

Phone

(714) 900-1041

NPI assigned

Dec 1, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Proactive Care Nursing, Inc

  • Adult Health Nurse Practitioner
  • Huntington Beach, CA
  • NPI 1154713790
  Medicare reassignment NPD
• DO Jaclynn MD Inc.

  • Family Medicine Physician
  • Westminster, CA
  • NPI 1548422108
  NPD (past)

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417392000000",
    "number": "1487051850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8972 POINSETTIA LN",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928411001",
            "telephone_number": "714-900-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8972 POINSETTIA LN",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928411001",
            "telephone_number": "714-900-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "LILLIAN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-01",
        "last_updated": "2014-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "NP95000609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Q Pham
• Kristie Pham
• Lanchi Ngoc Pham, DMD
• Le Pham, PHARMD
• Leonardo Pham
• Long Pham
• Matthew Pham
• Ngoc Pham
• Nguyen Pham
• Phat Pham

• Gerontology Nurse Practitioner in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Gerontology Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.

Verify at the official NPI Registry.