Hannah Ngoc Ha Pham, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

12411T Issued in CA

Practice address

748 S Harbor Blvd
Santa Ana, CA 92704-2337

Phone

(714) 839-7534

Fax

(714) 839-9635

NPI assigned

Nov 29, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Hannah Pham OD Inc

  • Optometrist
  • Santa Ana, CA
  • NPI 1144648957
  NPD (past) Authorized official
• Jeffrey V. Winston, MD a Professional Corp

  • Ophthalmology Physician
  • Fullerton, CA
  • NPI 1477687135

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1497822019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 S HARBOR BLVD",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927042337",
            "telephone_number": "714-839-7534",
            "fax_number": "714-839-9635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 S HARBOR BLVD",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927042337",
            "telephone_number": "714-839-7534",
            "fax_number": "714-839-9635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "HANNAH",
        "middle_name": "NGOC HA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12411T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0124110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George G Pham, DDS
• Grace Pham
• Han Pham
• Hang Pham, BT
• Hang Pham
• Hiep Ngoc Pham, PT,DPT
• Hoai Ngoc Tran Pham
• Hoang Ngoc Lien Pham, OTR/L
• Jaeson Pham, NP
• Jessi H Pham

• Optometrist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.