Organization Active NPI

Hai Pham M.D., Inc.

  • Internal Medicine Physician
  • Westminster, CA
National Provider Identifier
1821052770
Registry record updated Feb 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A70164 Issued in CA
Legal business name
HAI PHAM M.D., INC.
Practice address
9600 Bolsa Ave
Westminster, CA 92683-5949
Phone
(714) 531-8711
NPI assigned
Apr 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2010

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

Authorized official

Name
Hai Pham, M.D.NPI 1548223712
Title
Chief Executive Officer
Phone
(714) 531-8711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A70164 CA Primary

Addresses

Primary practice location

9600 Bolsa Ave
Westminster, CA 92683-5949

Mailing address

9600 Bolsa Ave
Westminster, CA 92683-5949
Phone (714) 531-8711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051103001163 CA Part B Supplier - Clinic/Group Practice 6204854623 Receives reassigned benefits from 1 practitioner
Practice locations: Ananheim, CA; Westminster, CA; Santa Ana, CA; Huntington Beach, CA; Garden Grove, CA; Fountain Valley, CA; Anaheim, CA

National Provider Directory

National Provider Directory
Tax ID family
Hai H Pham2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9600 Bolsa Ave
Ste F
Westminster, CA 92683
Phone (714) 531-8711

9600 Bolsa Ave
Westminster, CA 92683
Phone (714) 531-8711

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1145059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265328000000",
    "number": "1821052770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 BOLSA AVE",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835949",
            "telephone_number": "714-531-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 BOLSA AVE",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835949",
            "telephone_number": "714-531-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAI PHAM M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-15",
        "last_updated": "2010-02-05",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "HAI",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "714-531-8711",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A70164",
            "primary": true
        }
    ],
    "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 Feb 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.