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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: October 18, 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 and maintains 6 additional practice locations.

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
Phone(949) 229-0854
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
Open in Google Maps ↗

Secondary Practice Locations 6

Location 12719 Hollywood Blvd # L-264Hollywood, FL 33020-4821 · Phone (949) 229-0854 · Fax (870) 201-4413
Location 29400 SW Beaverton Hillsdale Hwy Ste 250Beaverton, OR 97005-3300 · Phone (949) 229-0854 · Fax (870) 201-4413
Location 3473 S Carnegie Dr Ste 200San Bernardino, CA 92408-4201 · Phone (714) 410-6588 · Fax (870) 201-4413
Location 4611 Gateway Blvd Ste 150South San Francisco, CA 94080-7066 · Phone (949) 229-0854 · Fax (870) 201-4413
Location 59920 Pacific Heights Blvd Ste 150San Diego, CA 92121-4361 · Phone (714) 410-6588 · Fax (870) 201-4413
Location 6633 W 5th St Fl 26Los Angeles, CA 90071-2053 · Phone (714) 410-6588 · Fax (870) 201-4413

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Cigna Healthcare, Cigna HealthCare of Florida, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Peter Pham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC
327 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

CHRISTINE XUAN PHAM R.D.
Dietitian, Registered
1100 W TOWN AND COUNTRY RD STE 1239
ORANGE, CA 92868
Orange County (808) 371-3738
PETER PHAM NURSING CORPORATION
Nurse Practitioner (Psychiatric/Mental Health)
1100 W TOWN AND COUNTRY RD STE 1239
ORANGE, CA 92868
Orange County (714) 880-2791
MINDTALITY LLC
Nurse Practitioner (Psychiatric/Mental Health)
1100 W TOWN AND COUNTRY RD STE 1239
ORANGE, CA 92868
Orange County (714) 451-4880

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.

Which organization bills Medicare for Peter Pham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Pham reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Peter Pham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Pham accept?

Health plans from BridgeSpan Health Company, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Oscar Health Maintenance Organization of Florida and Regence BlueCross BlueShield of Oregon and 1 other insurer 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 2 months 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.