Kimberly Pham, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

34176TLG Issued in CA

Practice address

6332 E Spring St
Long Beach, CA 90815-1424

Phone

(562) 421-4488

Fax

(562) 421-0233

NPI assigned

Jan 4, 2019

Sex

Female

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Third Optometric Care of California

  • Optometrist
  • Rancho Cordova, CA
  • NPI 1013516103
  NPD
• Third Optometric Care of California PC

  dba Antelope Mall Vision Center Optometry

  • Optometrist
  • Palmdale, CA
  • NPI 1215824768
  NPD
• Third Optometric Care of California PC

  dba Golden Vision Optometry

  • Optometrist
  • Irvine, CA
  • NPI 1609461003
  NPD
• Justin Prasad, OD a Professional Optometric Corporation

  dba Long Beach Family Optometry

  • Optometrist
  • Long Beach, CA
  • NPI 1184839482
  NPD (past)

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1780157420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6332 E SPRING ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151424",
            "telephone_number": "562-421-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6332 E SPRING ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151424",
            "telephone_number": "562-421-4488",
            "fax_number": "562-421-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "KIMBERLY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-04",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34176TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Jason Pham, DMD
• Jennifer Pham
• Journey Pham
• Kathy Pham, PHARM. D.
• Kim Thu Pham, D.M.D.
• Long Ba Pham
• Marissa Pham, MS, AMFT
• Pauline Pham, BSN, RN, PHN
• Peterson Q Pham, LCSW
• Sally Pham, PHARMD

• Optometrist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.