Organization Active NPI

John-Paul Pham

  • Interventional Cardiology Physician
  • Jacksonville, FL
National Provider Identifier
1881197044
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME107417 Issued in FL
Legal business name
JOHN-PAUL PHAM
Practice address
8075 Gate Pkwy W Ste 302
Jacksonville, FL 32216-3685
Phone
(904) 513-3179
Fax
(904) 337-1641
NPI assigned
Mar 14, 2018
Last updated
Sep 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Authorized official

Name
Dr. John-Paul Pham, MDNPI 1841491503
Title
Owner
Phone
(904) 513-3179

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X ME107417 FL Primary

Addresses

Primary practice location

8075 Gate Pkwy W Ste 302
Jacksonville, FL 32216-3685

Mailing address

8075 Gate Pkwy W Ste 302
Jacksonville, FL 32216-3685
Phone (904) 513-3179

Other identifiers 3

IdentifierTypeStateIssuer
024325001MedicaidFL
016132100MedicaidFL
ONK5EOtherFLFLORIDA BLUE

National Provider Directory

National Provider Directory
Tax ID family
John-Paul Pham2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1881197044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8075 GATE PKWY W STE 302",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163685",
            "telephone_number": "904-513-3179",
            "fax_number": "904-337-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8075 GATE PKWY W STE 302",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163685",
            "telephone_number": "904-513-3179",
            "fax_number": "904-337-1641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN-PAUL PHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "JOHN-PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-513-3179",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME107417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024325001",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016132100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "ONK5E",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.