Individual provider Active NPI

Nhu Pham, FNP

  • Nurse Practitioner
  • Santa Ana, CA
National Provider Identifier
1912511718
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP95014876 Issued in CA
Practice address
2010 E 1St St Ste 100
Santa Ana, CA 92705-4086
Phone
(714) 786-0294
NPI assigned
Aug 31, 2020
Last updated
Nov 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP95014876 CA Primary

Addresses

Primary practice location

2010 E 1St St Ste 100
Santa Ana, CA 92705-4086

Mailing address

181 Denali
Lake Forest, CA 92630-7632
Phone (714) 786-0294

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95014876CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Sports and Spine Inc CurrentSince Sep 7, 2020 Accepting new patients
Elite Pain Management Inc. CurrentSince Apr 5, 2022 Accepting new patients
Quality of Life Healthcare Inc CurrentSince May 1, 2021 Accepting new patients
Orange Coast Head and Neck Surgery CurrentSince May 1, 2023 Accepting new patients
Orange Coast Fyzical Past Accepting new patients
Orange Coast Head and Neck Surgery Past Accepting new patients

Locations

16100 Sand Canyon Ave
Ste 230
Irvine, CA 92618
Phone (949) 653-7000

3500 Barranca Pkwy
Ste 325
Irvine, CA 92606
Phone (949) 474-5730

9080 Irvine Center Dr
Irvine, CA 92618
Phone (949) 540-5641

1601 Dove St
Ste 275
Newport Beach, CA 92660
Phone (310) 853-6390

2010 E 1st St
Ste 100
Santa Ana, CA 92705
Phone (714) 556-7246

1442 Irvine Blvd
Ste 101
Tustin, CA 92780
Phone (714) 544-3900

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1912511718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 DENALI",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926307632",
            "telephone_number": "714-786-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 E 1ST ST STE 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927054086",
            "telephone_number": "714-786-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "NHU",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-31",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95014876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.