Xuan T Pham, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT11435T Issued in CA

Practice address

6176 Bollinger Rd
San Jose, CA 95129-3000

Phone

(408) 625-7466

Fax

(408) 996-1419

NPI assigned

Sep 13, 2006

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

Other identifiers 1

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

State licenses

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.

• Monterey Bay Eye Associates Medical Group, a Medical Corporation

  • Ophthalmology Physician
  • Salinas, CA
  • NPI 1629133178
  Medicare reassignment

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1972608008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6176 BOLLINGER RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951293000",
            "telephone_number": "408-625-7466",
            "fax_number": "089-961-4194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6176 BOLLINGER RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951293000",
            "telephone_number": "408-625-7466",
            "fax_number": "408-996-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "XUAN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT11435T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0114350",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Viet Pham
• Vincent Pham
• Viviane Pham, ASW, PPSC
• Vuong Duc Pham, D.C.
• Wendy Pham
• Y. L. Pham, MD
• Yvonne Ha Pham, PHARMD
• Phan Chiropractic
• Arden Amayun Phan, RN
• Betty T Phan

• Optometrist in San Jose, CA
• Providers in San Jose, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.