Organization Active NPI

Huu N. Pham, M.D.;a Medical Corporatio

  • Plastic and Reconstructive Surgery Physician
  • Newport Beach, CA
National Provider Identifier
1972859486
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
G-51285 Issued in CA
Legal business name
HUU N. PHAM, M.D.;A MEDICAL CORPORATIO
Practice address
4463 Birch Street
Suite 100
Newport Beach, CA 92660
Phone
(949) 955-1213
Fax
(949) 660-0223
NPI assigned
Aug 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

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

Authorized official

Name
Mr. Huu N. Pham, M.D.
Title
Owner
Phone
(949) 955-1213

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Surgery) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2086S0105X G-51285 CA
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2086S0122X G-51285 CA Primary

Addresses

Primary practice location

4463 Birch Street
Suite 100
Newport Beach, CA 92660

Mailing address

4463 Birch Street
Suite 100
Newport Beach, CA 92660
Phone (949) 955-1213

Other names 1

  • DBA Newport Cosmetic & Medical Center Doing business as

National Provider Directory

National Provider Directory

Locations

4463 Birch St
Ste 100
Newport Beach, CA 92660
Phone (949) 955-1213

NPI Registry JSON

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1972859486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4463 BIRCH STREET",
            "address_2": "SUITE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92660",
            "telephone_number": "949-955-1213",
            "fax_number": "949-660-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4463 BIRCH STREET",
            "address_2": "SUITE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92660",
            "telephone_number": "949-955-1213",
            "fax_number": "949-660-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUU N. PHAM, M.D.;A MEDICAL CORPORATIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-02",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "HUU",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-955-1213",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Surgery of the Hand",
            "state": "CA",
            "license": "G-51285",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "G-51285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Newport Cosmetic & Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; 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.