Organization Active NPI

Hannah Pham OD Inc

  • Optometrist
  • Santa Ana, CA
National Provider Identifier
1861670291
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12411T Issued in CA
Legal business name
HANNAH PHAM OD INC
Practice address
748 S Harbor Blvd
Santa Ana, CA 92704-2337
Phone
(714) 839-7534
Fax
(714) 839-9635
NPI assigned
Feb 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Authorized official

Name
Hannah Ngoc-Ha Pham, O.D.
Title
Owner
Phone
(714) 839-7534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 12411T CA Primary

Addresses

Primary practice location

748 S Harbor Blvd
Santa Ana, CA 92704-2337

Mailing address

748 S Harbor Blvd
Santa Ana, CA 92704-2337
Phone (714) 839-7534

National Provider Directory

National Provider Directory

Locations

748 S Harbor Blvd
Santa Ana, CA 92704
Phone (714) 839-7534

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": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1861670291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 S HARBOR BLVD",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927042337",
            "telephone_number": "714-839-7534",
            "fax_number": "714-839-9635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 S HARBOR BLVD",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927042337",
            "telephone_number": "714-839-7534",
            "fax_number": "714-839-9635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANNAH PHAM OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_middle_name": "NGOC-HA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-839-7534",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12411T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.