Kelly Pham, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

34887 Issued in CA

Practice address

9741 Bolsa Ave Ste 115
Westminster, CA 92683-6683

Phone

(714) 839-9915

Fax

(714) 839-9974

NPI assigned

Jul 20, 2021

Sex

Female

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Tedder Optometric Corporation, PC

  • Optometrist
  • Lake Forest, CA
  • NPI 1679262158
  Medicare reassignment NPD
• Hansra Optometric Corporation

  • Eyewear Supplier
  • Sacramento, CA
  • NPI 1366258436
  NPD
• Khanh Kristine Tong, O.D., Inc

  • Optometrist
  • Westminster, CA
  • NPI 1386802320
  NPD
• Leinah Nguyen OD Inc

  • Optometrist
  • Westminster, CA
  • NPI 1063242162
  NPD (past)

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1891368593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13742 WILSON ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926833336",
            "telephone_number": "714-757-7605",
            "fax_number": "714-839-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9741 BOLSA AVE STE 115",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836683",
            "telephone_number": "714-839-9915",
            "fax_number": "714-839-9974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Spectrum Center Dr",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926184958",
            "country_code": "US",
            "telephone_number": "949-885-0225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "KELLY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hai Hoang Pham, M.D.
• Huan Tri Pham
• Hung Quoc Pham, LCSW
• Huong Xuan Pham, MA, CCC-SLP
• John Duc Pham, PHARM D.
• Kevin Pham, DDS
• Khanh Gia Pham, MD
• Khoa Dang Pham
• Kim Nguyen N Pham, OMD, LA.C
• Lan Pham

• Optometrist in Westminster, CA
• Providers in Westminster, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.