Active NPI
Nina Pham, OD
- Optometrist
- Bakersfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT35360TLG
- Practice address
- 11320 Ming Ave Ste 360
Bakersfield, CA 93311-1304 - Phone
- (661) 847-9870
- Fax
- (661) 847-9871
- NPI assigned
- May 25, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT35360TLG | CA | Primary |
Addresses
Primary practice location
11320 Ming Ave Ste 360
Bakersfield, CA 93311-1304
Mailing address
4035 Poppy PL Apt 1
San Diego, CA 92105-4592
Phone (619) 534-4620
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Rancho Cordova, CA 95670
Phone (888) 852-1616
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT35360TLG | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Castillejos Eye Institute Medical Group | Optometrist | Current | Accepting new patients |
| Fifth Optometric Care of California | Optometrist | Current | Accepting new patients |
| Castillejos Eye Institute Medical Group | Current | Accepting new patients | |
| Fifth Optometric Care of California | Optometrist | Current | Accepting new patients |
| Fifth Optometric Care of California | Optometrist | Past | Accepting new patients |
| Fifth Optometric Care of California | Optometrist | Past | Accepting new patients |
| Fifth Optometric Care of California | Optometrist | Past | Accepting new patients |
Locations
11320 Ming Ave
Ste 360
Bakersfield, CA 93311
Phone (661) 847-9870
5535 Calloway Dr
#100
Bakersfield, CA 93312
Phone (661) 340-3108
342 F St
Chula Vista, CA 91910
Phone (619) 422-1471
3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564
417 Center St
Taft, CA 93268
Phone (661) 765-4270
Interoperability endpoints
- nina.pham@uprisedirect.com
Organizations & group practices 7
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.
-
- Optometrist
- San Jose, CA
- NPI 1215627914
-
- Ophthalmology Physician
- Chula Vista, CA
- NPI 1841377660
-
- Ophthalmology Physician
- Chula Vista, CA
- NPI 1982775672
Optometrist
-
dba Taft Eye Care Optometric Center
- Optometrist
- Taft, CA
- NPI 1699504746
-
dba Bakersfield Eye Care Optometric Center NW
- Optometrist
- Bakersfield, CA
- NPI 1184453227
-
dba Bakersfield Eye Care Optometric Center SW
- Optometrist
- Bakersfield, CA
- NPI 1679302715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753315200000",
"number": "1598403867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4035 POPPY PL APT 1",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921054592",
"telephone_number": "619-534-4620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11320 MING AVE STE 360",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933111304",
"telephone_number": "661-847-9870",
"fax_number": "661-847-9871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "NINA",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-25",
"last_updated": "2025-07-24",
"certification_date": "2025-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT35360TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.