Individual provider Active NPI

Karen Thu Anh Pham, O.D.

  • Optometrist
  • Concord, CA
National Provider Identifier
1609920016
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12639T Issued in CA
Practice address
1812 Galindo St
Concord, CA 94520-2477
Phone
(925) 825-2020
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12639T CA Primary

Addresses

Primary practice location

1812 Galindo St
Concord, CA 94520-2477

Mailing address

1401 Stoney Creek Dr
San Ramon, CA 94582-5616
Phone (408) 964-0993

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
I20041104000986 CA Practitioner - Optometry 5294798880 Practice locations: Concord, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1812 Galindo St
Concord, CA 94520-2477

1812 Galindo St
Suite a
Concord, CA 94520-2480
Phone (925) 825-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12639TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Khanh Bui, O.D., P.C. Optometrist Past Accepting new patients
Patricia L. Austin, MD, Inc. Optometrist PastSince Dec 16, 2008 Accepting new patients
DRS. Bui & Le Optometry Professional Corporation Optometrist Past Accepting new patients

Organizations & group practices 3

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379030400000",
    "number": "1609920016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 STONEY CREEK DR",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945825616",
            "telephone_number": "408-964-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 GALINDO ST",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202477",
            "telephone_number": "925-825-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "KAREN THU",
        "middle_name": "ANH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2013-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12639T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

Verify at the official NPI Registry.