ANNA PHAM D.O.
NPI 1609254879
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since May 08, 2015PECOS EnrolledAccepts Medicare Assignment
1400 S GRAND AVE, SUITE 101, LOS ANGELES, CA 90015(213) 744-0801 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Anna Pham D.o. NPPES

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

ANNA PHAM D.O. (NPI 1609254879) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1609254879
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameANNA PHAMCredential: D.O.
Location Address1400 S GRAND AVE, SUITE 101Los Angeles, CA 90015-3068
Mailing Address1400 S Grand Ave, Suite 101Los Angeles, CA 90015-3068 · (213) 744-0801
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMay 8, 2015
Last NPPES UpdateDecember 1, 2021
NPPES CertifiedDecember 1, 2021
NPI 1609254879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1400 S GRAND AVE, Los Angeles, CA 90015

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

Anna Pham D.o. 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 ID42558835
PECOS Enrollment IDI20190221001231
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.

Other Providers at the Same Location NPPES 20

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

Specialist
1400 S GRAND AVE
LOS ANGELES, CA 90015
Family Medicine
1400 S GRAND AVE, STE 101
LOS ANGELES, CA 90015
Internal Medicine (Nephrology)
1400 S GRAND AVE, SUITE 800
LOS ANGELES, CA 90015
Internal Medicine
1400 S GRAND AVE, SUITE # 605
LOS ANGELES, CA 90015
Student in an Organized Health Care Education/Training Program
1400 S GRAND AVE
LOS ANGELES, CA 90015
Clinic/Center (Multi-Specialty)
1400 S GRAND AVE, SUITE 611
LOS ANGELES, CA 90015
Rehabilitation Practitioner
1400 S GRAND AVE
LOS ANGELES, CA 90015
Student in an Organized Health Care Education/Training Program
1400 S GRAND AVE, SUITE 600
LOS ANGELES, CA 90015

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 Anna Pham's NPI number?

The NPI number for Anna Pham is 1609254879. It was assigned to this individual provider in the NPPES registry on May 8, 2015.

Where is Anna Pham located?

Anna Pham practices at 1400 S Grand Ave Suite 101, Los Angeles, CA 90015. The listed phone number is (213) 744-0801.

What is Anna Pham's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Anna Pham enrolled in Medicare?

Yes. Anna Pham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Anna Pham was last updated on December 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.