Organization Active NPI

Pham Physical Therapy Services Inc

  • Physical Therapist
  • Fountain Valley, CA
National Provider Identifier
1831149491
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT27861 Issued in CA
Legal business name
PHAM PHYSICAL THERAPY SERVICES INC
Practice address
10130 Warner Ave
Suite C
Fountain Valley, CA 92708-1619
Phone
(714) 775-3188
NPI assigned
May 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Tuan Anh Pham, D.P.T.NPI 1942251905
Title
President
Phone
(714) 606-3982

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
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT27861 CA Primary

Addresses

Primary practice location

10130 Warner Ave
Suite C
Fountain Valley, CA 92708-1619

Mailing address

10821 Howard Dallies Jr Cir
Garden Grove, CA 92843-7403
Phone (714) 775-2915

National Provider Directory

National Provider Directory

Locations

16181 Harbor Blvd
Fountain Vly, CA 92708
Phone (714) 775-2915

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831149491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10821 HOWARD DALLIES JR CIR",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928437403",
            "telephone_number": "714-775-2915",
            "fax_number": "714-775-3281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10130 WARNER AVE",
            "address_2": "SUITE C",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081619",
            "telephone_number": "714-775-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHAM PHYSICAL THERAPY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "TUAN",
        "authorized_official_middle_name": "ANH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-606-3982",
        "authorized_official_credential": "D.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT27861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.