Organization Active NPI

Thuy Q. Pham MD, PC Dba Avanta Health Medical Group

  • General Practice Physician
  • Fountain Valley, CA
National Provider Identifier
1720933179
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
THUY Q. PHAM MD, PC DBA AVANTA HEALTH MEDICAL GROUP
Practice address
11420 Warner Ave
Fountain Valley, CA 92708-2529
Phone
(714) 495-0905
NPI assigned
Mar 2, 2026
Last updated
Aug 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Authorized official

Name
Son Tran
Title
Cfo
Phone
(714) 766-9099

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

11420 Warner Ave
Fountain Valley, CA 92708-2529

Mailing address

600 City Pkwy W Ste 800
Orange, CA 92868-2948
Phone (714) 495-0905

National Provider Directory

National Provider Directory

Locations

765 The City Dr S
Ste 150
Orange, CA 92868

NPI Registry JSON

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

{
    "created_epoch": "1772409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1720933179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CITY PKWY W STE 800",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682948",
            "telephone_number": "714-495-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11420 WARNER AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082529",
            "telephone_number": "714-495-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THUY Q. PHAM MD, PC DBA AVANTA HEALTH MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-02",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "SON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "714-766-9099"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.