Individual provider Active NPI

Nina Pham, OD

  • Optometrist
  • Bakersfield, CA
National Provider Identifier
1598403867
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT35360TLG Issued in CA
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

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240430004160 CA Practitioner - Optometry 3375983810 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
OPT35360TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Castillejos Eye Institute Medical Group Optometrist CurrentSince Mar 18, 2024 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 CurrentSince Feb 19, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.