Peter Minh Pham

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

302038 Issued in CA

Practice address

774 S Placentia Ave FL 1
Placentia, CA 92870-6826

Phone

(714) 646-8319

Fax

(714) 646-8320

NPI assigned

Jul 13, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• California Luna Care Physical Therapy PC

  • Physical Therapist
  • Los Gatos, CA
  • NPI 1689162166
  Medicare reassignment Care Compare group NPD
• Maxum Physical Therapy Inc

  • Physical Therapist
  • Placentia, CA
  • NPI 1629002936
  Medicare reassignment NPD

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1649904806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 S PLACENTIA AVE STE 100",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928706832",
            "telephone_number": "714-646-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 S PLACENTIA AVE FL 1",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928706826",
            "telephone_number": "714-646-8319",
            "fax_number": "714-646-8320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "774 S Placentia Ave",
            "address_purpose": "LOCATION",
            "city": "Placentia",
            "state": "CA",
            "postal_code": "928706826",
            "country_code": "US",
            "telephone_number": "714-646-8319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "PETER",
        "middle_name": "MINH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "302038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kacie Lynn Peters
• Stephanie Petersen, MS SLP CCC
• Petreccia and Trotter Medical Corporation
• Deborah Petros
• Mary Regina Pham, D.D.S., M.S.
• Thao Trinh Pham, SPEECH PATHOLOGIST
• Nghi Tran Dinh Phan
• Melissa Phillips
• Physician Assistant House Calls Inc
• Physicians Network Services Medical Group

• Physical Therapist in Placentia, CA
• Providers in Placentia, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.