NPIMap

Individual provider Active NPI

Victoria Dao Pham, DO

  • Family Medicine Physician
  • Fountain Valley, CA
National Provider Identifier
1700089935
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A9271 Issued in CA
Practice address
17195 Newhope St Ste 107
Fountain Valley, CA 92708-4211
Phone
(714) 444-2414
Fax
(714) 444-2464
NPI assigned
Jun 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A9271 CA Primary

Addresses

Primary practice location

17195 Newhope St Ste 107
Fountain Valley, CA 92708-4211

Mailing address

17195 Newhope St
Ste 107
Fountain Valley, CA 92708-4211
Phone (714) 444-2414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070717000227 CA Practitioner - Family Practice 1850491077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
In-Home Doctors IncGroup PAC ID 0547455156, 6 clinicians

Practice addresses (Care Compare)

17195 Newhope St
Suite 107
Fountain Valley, CA 92708-4211
Phone (714) 444-2414

Hospital & facility affiliations

  • Stable Home Health, Inc Home health agency, Fountain Valley, CA, CCN 559779
  • Legacy Home Health, Inc Home health agency, Rancho Cucamonga, CA, CCN 058432
  • Alexus Home Healthcare, Inc Home health agency, Long Beach, CA, CCN 557524
  • Compassionate Care Home Health Home health agency, Fountain Valley, CA, CCN 059532
  • Alta Home Health Care Services, Inc. Home health agency, Garden Grove, CA, CCN 757271
  • Steward Hospice Care Inc Hospice, Bellflower, CA, CCN 751545
  • Exceptional Hospice Care Hospice, Upland, CA, CCN B51745
  • Memorialcare Orange Coast Medical Center Hospital, Fountain Valley, CA, CCN 050678

Merit-based Incentive Payment System (MIPS)

Final score
87.45 of 100Reported as apm
Quality
74.21
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A9271CAMDFamily Medicine Physician
9271CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
In-Home Doctors Inc Family Medicine CurrentSince Aug 16, 2010 Accepting new patients
Housecall Doctors Medical Group Inc CurrentSince Jun 10, 2007 Accepting new patients
House Call Medical Associates, Inc. PastSince Aug 16, 2010 Accepting new patients

Locations

17195 Newhope St
Ste 107
Fountain Valley, CA 92708
Phone (714) 444-2414

23181 Verdugo Dr
Ste 103A
Laguna Hills, CA 92653
Phone (800) 964-4364

3800 Kilroy Airport Way
Ste 270
Long Beach, CA 90806
Phone (949) 366-1053

Organizations & group practices 3

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1700089935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17195 NEWHOPE ST",
            "address_2": "STE 107",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084211",
            "telephone_number": "714-444-2414",
            "fax_number": "714-444-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17195 NEWHOPE ST STE 107",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084211",
            "telephone_number": "714-444-2414",
            "fax_number": "714-444-2464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "VICTORIA",
        "middle_name": "DAO",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A9271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.