NPIMap

Organization Active NPI

Gemie N Pham, OD Professional Corporation

  • Optometrist
  • Fountain Valley, CA
National Provider Identifier
1942559273
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13553 Issued in CA
Legal business name
GEMIE N PHAM, OD PROFESSIONAL CORPORATION
Practice address
17099 Brookhurst St
Fountain Valley, CA 92708-3601
Phone
(714) 968-4269
Fax
(714) 968-5352
NPI assigned
Aug 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Authorized official

Name
Dr. Gemie N Pham, O.D.NPI 1265677363
Title
Owner
Phone
(714) 856-4592

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 13553 CA Primary

Addresses

Primary practice location

17099 Brookhurst St
Fountain Valley, CA 92708-3601

Mailing address

11872 Garnet Cir
Garden Grove, CA 92845-1210
Phone (714) 968-4269

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1942559273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11872 GARNET CIR",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928451210",
            "telephone_number": "714-968-4269",
            "fax_number": "714-968-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17099 BROOKHURST ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083601",
            "telephone_number": "714-968-4269",
            "fax_number": "714-968-5352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEMIE N PHAM, OD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-31",
        "last_updated": "2019-07-02",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "GEMIE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-856-4592",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.