Active NPI
Mary Pham Chiropractic Inc
- Chiropractor
- Irvine, CA
National Provider Identifier
1619197035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC22812
- Legal business name
- MARY PHAM CHIROPRACTIC INC
- Practice address
- 14795 Jeffry Road # 104
Irvine, CA 92618 - Phone
- (949) 654-8219
- NPI assigned
- Apr 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Pham
- Title
- DC
- Phone
- (949) 654-8219
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC22812 | CA | Primary |
Addresses
Primary practice location
14795 Jeffry Road # 104
Irvine, CA 92618
Mailing address
14795 Jeffry Road # 104
Irvine, CA 92618
Phone (949) 654-8219
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619197035 | Other | CA | BLUE CROSS / BLUE SHIELD OF ILLINOIS |
| 1619197035 | Other | CA | PACIFICARE |
| 1619197035 | Other | CA | UNITED HEALTHCARE |
| 1619197035 | Other | CA | ANTHEM BLUE CROSS |
| 1619197035 | Other | CA | BLUE CROSS OF CALIFORNIA |
| 1619197035 | Other | CA | OHI INC. (OXFORD HEALTH PLANS) |
| 1619197035 | Other | CA | BLUE CROSS / BLUE SHIELD OF GEORGIA |
| 1619197035 | Other | CA | CIGNA |
| 1619197035 | Other | CA | BLUE SHIELD OF CALIFORNIA |
| 1619197035 | Other | CA | AETNA |
| 1619197035 | Other | CA | BLUE SHIELD OF PENNSYLVANIA |
| 1619197035 | Other | CA | BLUE SHIELD OF ILLINOIS |
| 1619197035 | Other | CA | REGENCE BLUE SHIELD |
| 1619197035 | Other | CA | BLUE CROSS / BLUE SHIELD OF TEXAS |
| 1619197035 | Other | CA | BLUE SHIELD OF TEXAS |
| 1619197035 | Other | CA | GREAT WEST |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215388800000",
"number": "1619197035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14795 JEFFRY ROAD # 104",
"city": "IRVINE",
"state": "CA",
"postal_code": "92618",
"telephone_number": "949-654-8219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14795 JEFFRY ROAD # 104",
"city": "IRVINE",
"state": "CA",
"postal_code": "92618",
"telephone_number": "949-654-8219"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARY PHAM CHIROPRACTIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-26",
"last_updated": "2008-07-07",
"status": "A",
"authorized_official_last_name": "PHAM",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "DC",
"authorized_official_telephone_number": "949-654-8219"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "DC22812",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS / BLUE SHIELD OF ILLINOIS",
"identifier": "1619197035",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICARE",
"identifier": "1619197035",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1619197035",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "1619197035",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF CALIFORNIA",
"identifier": "1619197035",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHI INC. (OXFORD HEALTH PLANS)",
"identifier": "1619197035",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS / BLUE SHIELD OF GEORGIA",
"identifier": "1619197035",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1619197035",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CALIFORNIA",
"identifier": "1619197035",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1619197035",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF PENNSYLVANIA",
"identifier": "1619197035",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF ILLINOIS",
"identifier": "1619197035",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "1619197035",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS / BLUE SHIELD OF TEXAS",
"identifier": "1619197035",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF TEXAS",
"identifier": "1619197035",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST",
"identifier": "1619197035",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.