Active NPI
Nam Pham, DO
- Emergency Medicine Physician
- San Gabriel, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 20A16688
- Practice address
- 438 W Las Tunas Dr
San Gabriel, CA 91776-1216 - Phone
- (626) 289-5454
- NPI assigned
- May 12, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 20A16688 | CA | Primary |
Addresses
Primary practice location
438 W Las Tunas Dr
San Gabriel, CA 91776-1216
Mailing address
2372 Fitzgerald Rd
Simi Valley, CA 93065-4938
Phone (805) 754-9684
Other practice location 1
100 S Raymond Ave
Alhambra, CA 91801-3166
Phone (626) 570-1606
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9920 Talbert Ave
Fountain Valley, CA 92708-5153
Phone (714) 378-7000
Hospital & facility affiliations
- Henry Mayo Newhall Hospital
- Memorialcare Orange Coast Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.69 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 78.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16688 | CA | MD | Acupuncturist |
| 20A16688 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montclair Emergency Medical Associates | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians of San Gabriel Valley | Emergency Medicine | Current | Accepting new patients |
| Chino Emergency Medical Associates, Inc. | Emergency Medicine | Current | Accepting new patients |
| Andy Shen, M.D., Inc. | Emergency Medicine | Current | Accepting new patients |
| Cep America-California | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
Locations
100 S Raymond Ave
Alhambra, CA 91801
Phone (626) 457-7938
5451 Walnut Ave
Chino, CA 91710
Phone (909) 464-8600
751 Medical Center Ct
#1182
Chula Vista, CA 91911
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
9920 Talbert Ave
Fountain Vly, CA 92708
Phone (714) 236-4000
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
5000 San Bernardino St
Montclair, CA 91763
Phone (909) 625-4111
15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051
438 W Las Tunas Dr
San Gabriel, CA 91776
Phone (626) 289-5454
Interoperability endpoints
- npham696035@direct.memorialcare.org
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Santa Ana, CA
- NPI 1548667843
-
- Emergency Medicine Physician
- Alhambra, CA
- NPI 1457427221
-
- Emergency Medicine Physician
- Chino, CA
- NPI 1013282029
-
- Emergency Medicine Physician
- San Gabriel, CA
- NPI 1366021834
-
- Emergency Medicine Physician
- Montclair, CA
- NPI 1316044696
-
- Emergency Medicine Physician
- Long Beach, CA
- NPI 1144849530
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Valencia, CA
- NPI 1780668434
-
- General Acute Care Hospital
- Fountain Valley, CA
- NPI 1497702575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668643200000",
"number": "1922454545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2372 FITZGERALD RD",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930654938",
"telephone_number": "805-754-9684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "438 W LAS TUNAS DR",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917761216",
"telephone_number": "626-289-5454"
}
],
"practiceLocations": [
{
"address_1": "100 S Raymond Ave",
"address_purpose": "LOCATION",
"city": "Alhambra",
"state": "CA",
"postal_code": "918013166",
"country_code": "US",
"telephone_number": "626-570-1606",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHAM",
"first_name": "NAM",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-12",
"last_updated": "2022-11-17",
"certification_date": "2022-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "20A16688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Gabriel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.