Active NPI
To Pham, MD
- Counselor
- Newport Beach, CA
National Provider Identifier
1821493875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- A33060
- Practice address
- 16 Via Coralle
Newport Beach, CA 92657-1625 - Phone
- (949) 715-3020
- Fax
- (949) 715-3021
- NPI assigned
- Oct 31, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | A33060 | CA | Primary |
Addresses
Primary practice location
16 Via Coralle
Newport Beach, CA 92657-1625
Mailing address
16 Via Coralle
Newport Beach, CA 92657-1625
Phone (949) 715-3020
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A33060 | CA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414713600000",
"number": "1821493875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 VIA CORALLE",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926571625",
"telephone_number": "949-715-3020",
"fax_number": "949-715-3021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 VIA CORALLE",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926571625",
"telephone_number": "949-715-3020",
"fax_number": "949-715-3021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "TO",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-10-31",
"last_updated": "2014-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "A33060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.