Active NPI
Kimberlee Khanh Pham
- School Social Worker
- Fullerton, CA
National Provider Identifier
1821727991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- ASW131703
- Practice address
- 3441 W Valencia Dr
Fullerton, CA 92833-3131 - Phone
- (714) 447-7755
- NPI assigned
- Jun 6, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | ASW131703 | CA | Primary |
Addresses
Primary practice location
3441 W Valencia Dr
Fullerton, CA 92833-3131
Mailing address
11112 Faye Ave
Garden Grove, CA 92840-1123
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 |
|---|---|---|---|
| ASW131703 | CA | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780012800000",
"number": "1821727991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11112 FAYE AVE",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928401123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3441 W VALENCIA DR",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928333131",
"telephone_number": "714-447-7755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "KIMBERLEE",
"middle_name": "KHANH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-06",
"last_updated": "2026-05-29",
"certification_date": "2026-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "CA",
"license": "ASW131703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.