Active NPI
Linh Thi-Thanh Pham, MD
- Pediatrics Physician
- Orange, CA
National Provider Identifier
1972683118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 000000A80450
- Practice address
- 455 S Main St
Orange, CA 92868-3835 - Phone
- (714) 509-8767
- Fax
- (714) 509-4551
- NPI assigned
- Oct 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 000000A80450 | CA | Primary |
Addresses
Primary practice location
455 S Main St
Orange, CA 92868-3835
Mailing address
14871 Bridgeport Rd
Tustin, CA 92780-6218
Phone (714) 734-6808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80450 | CA | MD | Marriage & Family Therapist |
| 000000A80450 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392163200000",
"number": "1972683118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14871 BRIDGEPORT RD",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927806218",
"telephone_number": "714-734-6808",
"fax_number": "714-734-6808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 S MAIN ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683835",
"telephone_number": "714-509-8767",
"fax_number": "714-509-4551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "LINH",
"middle_name": "THI-THANH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2014-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "000000A80450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.