Active NPI
Angela Pham, OT
- Occupational Therapist
- Alhambra, CA
National Provider Identifier
1689346678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT23408
- Practice address
- 204 S Almansor St
Alhambra, CA 91801-6100 - Phone
- (714) 653-0335
- NPI assigned
- Sep 29, 2021
- Last updated
- Mar 13, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT23408 | CA | Primary |
Addresses
Primary practice location
204 S Almansor St
Alhambra, CA 91801-6100
Mailing address
1597 W Katella Ave
Anaheim, CA 92802-2716
Phone (714) 653-0335
Other practice location 1
4601 S Broadway
Los Angeles, CA 90037-2729
Phone (213) 223-5922
Other practice location 2
831 E Arrow Hwy
Pomona, CA 91767-2535
Phone (909) 398-4383
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23408 | CA | MD | Emergency Medicine Physician |
| OT23408 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Special Service for Groups, Inc. | Current | Accepting new patients |
Locations
4601 S Broadway
Los Angeles, CA 90037
Phone (213) 223-5922
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Los Angeles, CA
- NPI 1831753615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741824000000",
"number": "1689346678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1597 W KATELLA AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928022716",
"telephone_number": "714-653-0335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 S ALMANSOR ST",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918016100",
"telephone_number": "714-653-0335"
}
],
"practiceLocations": [
{
"address_1": "4601 S Broadway",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900372729",
"country_code": "US",
"telephone_number": "213-223-5922",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "831 E Arrow Hwy",
"address_purpose": "LOCATION",
"city": "Pomona",
"state": "CA",
"postal_code": "917672535",
"country_code": "US",
"telephone_number": "909-398-4383",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHAM",
"first_name": "ANGELA",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-29",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT23408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alhambra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.