Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PETER PHAM NP
NPI 1366908543
Nurse Practitioner - Psychiatric/Mental Health in Orange, CA

Active since February 13, 2019PECOS Enrolled
1100 W TOWN AND COUNTRY RD STE 1239, ORANGE, CA 92868(949) 229-0854(870) 201-4413 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 4, 2026, Nov 6, 2024, Sep 5, 2024 and 10 more (13 updates tracked since 2019).

About Peter Pham Np NPPES

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

PETER PHAM NP (NPI 1366908543) is an individual psychiatric/mental health provider in Orange, California, licensed in California (95019677) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366908543
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NamePETER PHAMCredential: NP
Location Address1100 W TOWN AND COUNTRY RD STE 1239Orange, CA 92868-4600
Mailing Address1100 W Town And Country Rd Ste 1250Orange, CA 92868-4633 · (949) 229-0854 · Fax (870) 201-4413
Fax(870) 201-4413
Sole ProprietorNo
Enumeration DateFebruary 13, 2019
Last NPPES UpdateAugust 4, 202613 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
NPI 1366908543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in CA · 95019677 Licensed in FL · 11021928 Licensed in OR · 10031892 Licensed in NV · 882787 Licensed in TX · 1170196
Also ListedRegistered NurseTaxonomy 163W00000X · License 95181593 (CA)
1100 W TOWN AND COUNTRY RD STE 1239, Orange, CA 92868

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Peter Pham Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 92868 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 3

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

Dietitian, Registered
1100 W TOWN AND COUNTRY RD STE 1239
ORANGE, CA 92868
Nurse Practitioner (Psychiatric/Mental Health)
1100 W TOWN AND COUNTRY RD STE 1239
ORANGE, CA 92868
Nurse Practitioner (Psychiatric/Mental Health)
1100 W TOWN AND COUNTRY RD STE 1239
ORANGE, CA 92868

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Pham's NPI number?

The NPI number for Peter Pham is 1366908543. It was assigned to this individual provider in the NPPES registry on February 13, 2019.

Where is Peter Pham located?

Peter Pham practices at 1100 W Town And Country Rd Ste 1239, Orange, CA 92868. The listed phone number is (949) 229-0854.

What is Peter Pham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Peter Pham enrolled in Medicare?

Yes. Peter Pham is registered in the Medicare PECOS enrollment system.

What insurance does Peter Pham accept?

Health plans from BridgeSpan Health Company, Oscar Health Maintenance Organization of Florida, Regence BlueCross BlueShield of Oregon and UnitedHealthcare list Peter Pham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Peter Pham was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.