Organization Active NPI

Selflove Empowerment Institute, Inc

  • Medical Specialty Clinic/Center
  • Santa Ana, CA
National Provider Identifier
1518749019
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
SELFLOVE EMPOWERMENT INSTITUTE, INC
Practice address
950 W 17TH St Ste C
Santa Ana, CA 92706-3556
Phone
(657) 321-9765
Fax
(229) 218-2667
NPI assigned
Oct 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Authorized official

Name
Loan Vu Minh Pham, DNPNPI 1053440065
Title
Founder
Phone
(657) 321-9765

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

950 W 17TH St Ste C
Santa Ana, CA 92706-3556

Mailing address

16027 Brookhurst St Ste I-732
Fountain Valley, CA 92708-1551
Phone (657) 321-9765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231208003106 CA Part B Supplier - Clinic/Group Practice 4486003993 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Ana, CA

National Provider Directory

National Provider Directory

Locations

16027 Brookhurst St
Ste I732
Fountain Valley, CA 92708

14331 Euclid St
Ste 207
Garden Grove, CA 92843
Phone (657) 321-9765

950 W 17th St
Ste C
Santa Ana, CA 92706
Phone (657) 321-9765

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1518749019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16027 BROOKHURST ST STE I-732",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081551",
            "telephone_number": "657-321-9765",
            "fax_number": "229-218-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 W 17TH ST STE C",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927063556",
            "telephone_number": "657-321-9765",
            "fax_number": "229-218-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELFLOVE EMPOWERMENT INSTITUTE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-18",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "LOAN",
        "authorized_official_middle_name": "VU MINH",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "657-321-9765",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.