Active NPI
Thi Ngoc Pham, O.D.
- Optometrist
- Westminster, CA
National Provider Identifier
1801984315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 11730T
- Practice address
- 9600 Bolsa Ave
Suite C & H
Westminster, CA 92683-5949 - Phone
- (714) 775-7045
- NPI assigned
- Oct 10, 2006
- Last updated
- Sep 11, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 11730T | CA | Primary |
| Low Vision Rehabilitation Optometrist | 152WL0500X | 11730T | CA |
Addresses
Primary practice location
9600 Bolsa Ave
Suite C & H
Westminster, CA 92683-5949
Mailing address
16144 Gallatin St
Fountain Valley, CA 92708-1440
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11730T | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1801984315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16144 GALLATIN ST",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927081440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9600 BOLSA AVE",
"address_2": "SUITE C & H",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926835949",
"telephone_number": "714-775-7045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "THI",
"middle_name": "NGOC",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "11730T",
"primary": true
},
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "CA",
"license": "11730T",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westminster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.