Trung Ngoc Pham, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A45592 Issued in CA

Practice address

9118 Bolsa Ave
Westminster, CA 92683-5533

Phone

(714) 899-3839

Fax

(714) 899-9579

NPI assigned

Apr 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1851355101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 BOLSA AVE",
            "address_2": "SUITE #A1",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835943",
            "telephone_number": "714-775-8855",
            "fax_number": "714-775-8843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9118 BOLSA AVE",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835533",
            "telephone_number": "714-899-3839",
            "fax_number": "714-899-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "TRUNG",
        "middle_name": "NGOC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A45592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A455920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thuananh Thi Pham
• Thuy Truc Pham, RDHAP
• Thuy-Vy DO Pham, FNP
• To Uyen Thi Pham, DDS
• Tran Lan Pham, DDS
• Vivian Pham
• Carolyn Chu Phan, PT, DPT
• Christine Phan
• Derek T Phan, M.D.
• Henry Quoc Phan

• Family Medicine Physician in Westminster, CA
• Providers in Westminster, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.