AN THIEN PHAM NP - NPI 1346889623 - Nurse Practitioner in Anaheim, CA

Q: What is An Pham's NPI number?

The NPI number for An Pham is 1346889623. It was assigned to this individual provider in the NPPES registry on January 3, 2020.

Q: What is An Pham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for An Pham was last updated on April 25, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About An Thien Pham Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AN THIEN PHAM NP (NPI 1346889623) is an individual nurse practitioner in Anaheim, California, licensed in California (95012219) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Porterville, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1346889623

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameAN THIEN PHAMCredential: NP

Location Address2441 W LA PALMA AVE STE 100Anaheim, CA 92801-2658

Mailing Address200 S Manchester Ave Ste 300Orange, CA 92868-3219 · (714) 456-2986

Phone(657) 282-6356

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJanuary 3, 2020

Last NPPES UpdateApril 25, 2023

NPPES CertifiedApril 25, 2023

✔ NPI 1346889623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 95012219

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2441 W LA PALMA AVE STE 100, Anaheim, CA 92801

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Secondary Practice Location 1

Location 1590 W Putnam AvePorterville, CA 93257-3257 · Phone (559) 781-3700 ext. 1022 · Fax (559) 781-1230

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

An Thien Pham Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921493149

PECOS Enrollment IDI20220324001411

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DYLAN HANAMI MD

Family Medicine