Krystal Pham OB GYN Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A114075 Issued in CA

Legal business name

KRYSTAL PHAM OB GYN INC

Practice address

11160 Warner Ave Ste 219
Fountain Valley, CA 92708-4048

Phone

(714) 486-1228

Fax

(714) 486-3108

NPI assigned

Feb 5, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Krystal Hanhtran Pham, M.D.NPI 1710001763

Title

President

Phone

(702) 335-5421

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

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

• Krystal Hanh Tran Pham, MD

  • Obstetrics & Gynecology Physician
  • Fountain Valley, CA
  • NPI 1710001763
  Medicare reassignment NPD Authorized official
• Grace Gima, FNP

  • Family Nurse Practitioner
  • Irvine, CA
  • NPI 1548622079
  NPD (past)
• Zhu Pan Wei, MD

  • Obstetrics & Gynecology Physician
  • Irvine, CA
  • NPI 1174797914
  NPD (past)

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1629436514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11160 WARNER AVE STE 219",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084048",
            "telephone_number": "714-486-1228",
            "fax_number": "714-486-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11160 WARNER AVE STE 219",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084048",
            "telephone_number": "714-486-1228",
            "fax_number": "714-486-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRYSTAL PHAM OB GYN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-05",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_middle_name": "HANHTRAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-335-5421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A114075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Y. Nguyen, DDS, Ms, Inc
• Chelsea Krone
• Aaron Kropiewnicki, PTA
• Celeste Krueger, MHS, CCC-SLP
• Krystal Pham DDS, Inc (Oceanic Dental)
• Michael Joseph Kuhle, LCSW
• Mark M Kumamoto, M.D.
• Suzie Kunakoff, RD
• Richard Kuo
• Su Yong Kuo, MD

• Obstetrics & Gynecology Physician in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.