NPIMap

Individual provider Active NPI

Alexander Darwin Vuong Pham, M.D.

  • Medical Oncology Physician
  • San Jose, CA
National Provider Identifier
1487807111
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
A112936 Issued in CA
Practice address
2589 Samaritan Dr
San Jose, CA 95124-4102
Phone
(408) 426-4900
NPI assigned
Oct 26, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A112936 CA
Hematology (Internal Medicine) Physician 207RH0000X A112936 CA
Medical Oncology Physician 207RX0202X A112936 CA Primary

Addresses

Primary practice location

2589 Samaritan Dr
San Jose, CA 95124-4102

Mailing address

2589 Samaritan Dr
San Jose, CA 95124-4102
Phone (408) 426-4900

Other practice location 1

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110809000890 CA Practitioner - Hematology/OncologyPractitioner - General Practice 5698944544 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stanford Health CareGroup PAC ID 6709797491, 3,152 clinicians

Practice addresses (Care Compare)

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
112936CAMDClinical Social Worker
A112936CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stanford Health Care CurrentSince Jul 4, 2017 Accepting new patients
Stanford Health Care Internal Medicine CurrentSince Jul 4, 2017 Accepting new patients
O'Connor Hospital Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
Hayward Sisters Hospital Past Accepting new patients
Delaware County Memorial Hospital Past Accepting new patients
El Camino Hospital Past Accepting new patients
Good Samaritan Hospital Ca LTD PTP Past Accepting new patients
Eden Medical Center/San Leandro Hospital Campus Past Accepting new patients
The Hospital Committee for the Livermore-Pleasanton Areas Past Accepting new patients
County of Santa Clara Past Accepting new patients
Stanford Health Care Tri-Valley Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Sequoia Health Services Past Accepting new patients
Upmc Washington Past Accepting new patients

Locations

5725 W Las Positas Blvd
Ste 100
Pleasanton, CA 94588

2589 Samaritan Dr
San Jose, CA 95124
Phone (408) 357-1060

2589 Samaritan Dr
Fl 3
San Jose, CA 95124
Phone (669) 233-2363

2101 Forest Ave
Ste 124
San Jose, CA 95128
Phone (408) 886-3856

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: apham125938@santaclaravalley.direct-ci.net
  • Direct secure messaging: apham172716@direct.stanfordhealthcare.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1224979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1487807111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2589 SAMARITAN DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244102",
            "telephone_number": "408-426-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2589 SAMARITAN DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244102",
            "telephone_number": "408-426-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Pasteur Dr",
            "address_purpose": "LOCATION",
            "city": "Stanford",
            "state": "CA",
            "postal_code": "943052200",
            "country_code": "US",
            "telephone_number": "650-723-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "ALEXANDER",
        "middle_name": "DARWIN VUONG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-26",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A112936",
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "CA",
            "license": "A112936",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CA",
            "license": "A112936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.