Lien D Pham, MS

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

940 S Coast Dr Ste 225
Costa Mesa, CA 92626-7757

Phone

(949) 743-1457

NPI assigned

May 31, 2022

Reactivated

May 10, 2024

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Julia Evans PHD Psychology PC

  • Clinical Psychologist
  • Costa Mesa, CA
  • NPI 1861902280
  NPD

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1992444855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 S HIGHWAY 101 # 262",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 S COAST DR STE 225",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267757",
            "telephone_number": "949-743-1457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "LIEN",
        "middle_name": "D",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "deactivation_date": "2024-04-16",
        "reactivation_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lpham2@alliant.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1000 S Fremont Ave Unit 5",
            "city": "Alhambra",
            "state": "CA",
            "country_code": "US",
            "postal_code": "918038835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John Duy Pham
• Judy Pham, RN
• Julie Kimchi Pham
• Kristin Vo Pham, PHYSICAL THERAPIST
• Lam Linh Pham
• Phoebe Tu-Phi Pham
• Thomas Pham
• Timmy Pham
• Tracy Pham, PHARM D
• Viet Hoang Pham

• Student in an Organized Health Care Education/Training Program in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.