Active NPI
Tuong DO Pham MD Inc
- Family Medicine Physician
- San Francisco, CA
National Provider Identifier
1871666768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A35098
- Legal business name
- TUONG DO PHAM MD INC
- Practice address
- 439 Ofarrell St
San Francisco, CA 94102 - Phone
- (415) 441-4882
- Fax
- (415) 441-7389
- NPI assigned
- Nov 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tuong DO Pham, MD
- Title
- President
- Phone
- (650) 591-9242
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A35098 | CA | Primary |
Addresses
Primary practice location
439 Ofarrell St
San Francisco, CA 94102
Mailing address
559 Marlin Court
Redwood City, CA 94065
Phone (650) 591-9242
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A350980 | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- San Francisco, CA
- NPI 1962782706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1871666768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "559 MARLIN COURT",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "94065",
"telephone_number": "650-591-9242",
"fax_number": "415-441-7389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "439 OFARRELL ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94102",
"telephone_number": "415-441-4882",
"fax_number": "415-441-7389"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TUONG DO PHAM MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PHAM",
"authorized_official_first_name": "TUONG",
"authorized_official_middle_name": "DO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "650-591-9242",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "A35098",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A350980",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, 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.