Active NPI
Doan Hanh Pham, PA-C
- Physician Assistant
- Anaheim, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 8078 E Santa Ana Canyon Rd
Anaheim, CA 92808-1108 - Phone
- (714) 974-2900
- NPI assigned
- Apr 20, 2020
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | CA | Primary |
Addresses
Primary practice location
8078 E Santa Ana Canyon Rd
Anaheim, CA 92808-1108
Mailing address
8078 E Santa Ana Canyon Rd
Anaheim, CA 92808-1108
Phone (714) 974-2900
Other practice location 1
14901 Rinaldi St Ste 202
Mission Hills, CA 91345-1254
Phone (818) 899-5555
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: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8078 E Santa Ana Canyon Rd
Anaheim, CA 92808-1108
Phone (714) 974-2900
Hospital & facility affiliations
- Providence St. Jude Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58260 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Current | Accepting new patients | |
| Center for Family Health and Education Inc | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Center for Family Health and Education Inc | Current | Accepting new patients | |
| Center for Family Health and Education Inc | Past | Accepting new patients |
Locations
15855 Pomona Rincon Rd
Bldg 4
Chino Hills, CA 91709
Phone (714) 626-8630
500 W Willow St
#101
Long Beach, CA 90806
Phone (562) 427-1700
14901 Rinaldi St
Ste 202
Mission Hills, CA 91345
Phone (818) 361-7358
8727 Van Nuys Blvd
Ste 207
Panorama City, CA 91402
Interoperability endpoints
- dpham2227687@oc.providencedirect.org
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.
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- Federally Qualified Health Center (FQHC)
- Panorama City, CA
- NPI 1871853481
-
- Federally Qualified Health Center (FQHC)
- Long Beach, CA
- NPI 1154803674
-
- Federally Qualified Health Center (FQHC)
- Van Nuys, CA
- NPI 1700350659
-
- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- Surgery Physician
- Eureka, CA
- NPI 1477790517
-
- Federally Qualified Health Center (FQHC)
- Mission Hills, CA
- NPI 1689199648
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
-
- General Acute Care Hospital
- Brea, CA
- NPI 1891904942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645747200000",
"number": "1629698618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8078 E SANTA ANA CANYON RD",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928081108",
"telephone_number": "714-974-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8078 E SANTA ANA CANYON RD",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928081108",
"telephone_number": "714-974-2900"
}
],
"practiceLocations": [
{
"address_1": "14901 Rinaldi St Ste 202",
"address_purpose": "LOCATION",
"city": "Mission Hills",
"state": "CA",
"postal_code": "913451254",
"country_code": "US",
"telephone_number": "818-899-5555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHAM",
"first_name": "DOAN",
"middle_name": "HANH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-20",
"last_updated": "2022-02-25",
"certification_date": "2022-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.