Individual provider Active NPI

John Pham, D.O.

  • Adult Medicine Physician
  • Anthem, AZ
National Provider Identifier
1487851358
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
5273 Issued in AZ
Practice address
3648 W Anthem Way
Suite A100
Anthem, AZ 85086-7001
Phone
(623) 434-6444
Fax
(623) 434-6448
NPI assigned
Jul 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 5273 AZ Primary

Addresses

Primary practice location

3648 W Anthem Way
Suite A100
Anthem, AZ 85086-7001

Mailing address

3648 W Anthem Way
Suite A100
Anthem, AZ 85086-7001
Phone (623) 434-6444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20100825000582 AZ Practitioner - Family Practice 9436273679 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5273AZMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Feb 22, 2016 Accepting new patients
Honorhealth Medical Group, LLC Family Medicine Current Accepting new patients
Squaw Peak Family Physicians PC Family Medicine Current Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Feb 22, 2016 Accepting new patients
Scottsdale Healthcare Corp Family Medicine CurrentSince Feb 22, 2015 Accepting new patients
Honorhealth Ambulatory CurrentSince Feb 22, 2015 Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients

Locations

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

4712 E Dynamite Blvd
Cave Creek, AZ 85331
Phone (480) 342-8711

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

1610 W Glendale Ave
#128
Phoenix, AZ 85021
Phone (623) 780-1999

18404 N Tatum Blvd
Ste 101
Phoenix, AZ 85032
Phone (602) 992-1900

9327 N 3rd St
Ste 100
Phoenix, AZ 85020
Phone (602) 371-3100

4131 N 24th St
Ste B102
Phoenix, AZ 85016
Phone (602) 955-6632

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

Organizations & group practices 8

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": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1487851358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3648 W ANTHEM WAY",
            "address_2": "SUITE A100",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850867001",
            "telephone_number": "623-434-6444",
            "fax_number": "623-434-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3648 W ANTHEM WAY",
            "address_2": "SUITE A100",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850867001",
            "telephone_number": "623-434-6444",
            "fax_number": "623-434-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "JOHN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-02",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "AZ",
            "license": "5273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anthem, AZ

Sources for this page

Verify at the official NPI Registry.