Active NPI
Huan Phu Pham
- Research Study Abstracter/Coder
- San Diego, CA
National Provider Identifier
1649995937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Research Study Abstracter/Coder
- Practice address
- 5252 El Cajon Blvd Apt 208
San Diego, CA 92115-4762 - Phone
- (619) 314-2728
- NPI assigned
- Oct 10, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Poetry Therapist | 102X00000X | |||
| Independent Duty Medical Technicians | 1710I1003X | |||
| Home Modifications Contractor | 171WH0202X | |||
| Specialist | 174400000X | |||
| Lodging Provider | 177F00000X | |||
| Supports Brokerage Agency | 251X00000X | |||
| Exclusive Provider Organization | 302F00000X | |||
| Point of Service | 305S00000X | |||
| Blood Bank | 331L00000X | |||
| Transportation Network Company | 342000000X | |||
| Air Carrier | 344800000X | |||
| Private Vehicle | 347C00000X | |||
| Train | 347D00000X | |||
| Transportation Broker | 347E00000X | |||
| Research Study Abstracter/Coder | 1744R1103X | Primary |
Addresses
Primary practice location
5252 El Cajon Blvd Apt 208
San Diego, CA 92115-4762
Mailing address
5252 El Cajon Blvd Apt 208
San Diego, CA 92115-4762
Phone (619) 314-2728
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 93638370A18274 | Medicaid | CA |
Other names 1
- Huan Phu Pham
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665360000000",
"number": "1649995937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5252 EL CAJON BLVD APT 208",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921154762",
"telephone_number": "619-314-2728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5252 EL CAJON BLVD APT 208",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921154762",
"telephone_number": "619-314-2728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "HUAN",
"middle_name": "PHU",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-10",
"last_updated": "2022-10-10",
"certification_date": "2022-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "102X00000X",
"taxonomy_group": "",
"desc": "Poetry Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1710I1003X",
"taxonomy_group": "",
"desc": "Military Health Care Provider, Independent Duty Medical Technicians",
"state": null,
"license": null,
"primary": false
},
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": null,
"license": null,
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "177F00000X",
"taxonomy_group": "",
"desc": "Lodging",
"state": null,
"license": null,
"primary": false
},
{
"code": "251X00000X",
"taxonomy_group": "",
"desc": "Supports Brokerage",
"state": null,
"license": null,
"primary": false
},
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "331L00000X",
"taxonomy_group": "",
"desc": "Blood Bank",
"state": null,
"license": null,
"primary": false
},
{
"code": "342000000X",
"taxonomy_group": "",
"desc": "Transportation Network Company",
"state": null,
"license": null,
"primary": false
},
{
"code": "344800000X",
"taxonomy_group": "",
"desc": "Air Carrier",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
},
{
"code": "347D00000X",
"taxonomy_group": "",
"desc": "Train",
"state": null,
"license": null,
"primary": false
},
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1744R1103X",
"taxonomy_group": "",
"desc": "Specialist, Research Data Abstracter/Coder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "93638370A18274",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HUAN",
"last_name": "PHAM",
"middle_name": "PHU",
"credential": "FRESCO",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.