Active NPI
John-Paul Pham
- Interventional Cardiology Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- ME107417
- 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, 2025
- 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
- Dr. John-Paul Pham, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024325001 | Medicaid | FL | |
| 016132100 | Medicaid | FL | |
| ONK5E | Other | FL | FLORIDA BLUE |
National Provider Directory
National Provider Directory- Tax ID family
- John-Paul Pham
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Interventional Cardiology Physician
- Jacksonville, FL
- NPI 1154802833
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.
-
- Interventional Cardiology Physician
- Jacksonville, FL
- NPI 1841491503
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.