Phison Huu Pham, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A180117 Issued in CA

Practice address

600 S San Vicente Blvd Ste 101
Los Angeles, CA 90048-4664

Phone

(310) 873-3312

NPI assigned

Apr 10, 2019

Last updated

Jul 12, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

University of South Florida College of Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Apex Multispecialty Medical Group IncGroup PAC ID 3375978497, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• National Hospice and Palliative Care Hospice, Manteca, CA, CCN 921500

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Apex Multispecialty Medical Group, Inc

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1023672367
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• American Carequest East Bay

  dba National Hospice and Palliative Care

  • Community Based Hospice Care Agency
  • Manteca, CA
  • NPI 1134559032
  Care Compare affiliation

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1891258422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9663 SANTA MONICA BLVD # 883",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104303",
            "telephone_number": "310-873-3312",
            "fax_number": "424-270-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S SAN VICENTE BLVD STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484664",
            "telephone_number": "310-873-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "PHISON",
        "middle_name": "HUU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-10",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A180117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nhu Lan Pham
• Nhu Thao Lisa Pham, DDS
• Patrick Pham, D.O.
• Peter Pham, DDS
• Peter Son Pham, M.D.
• Phuc Hong Pham, MD
• Phuong-Thu Thi Pham, MD
• Quynh N Pham
• Ronald A. Pham, MD
• Ryan B Pham, DDS

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.