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KRYSTAL PHAM OB GYN INC
NPI 1629436514
Obstetrics & Gynecology in Fountain Valley, CA

Active since February 05, 2016
11160 WARNER AVE STE 219, FOUNTAIN VALLEY, CA 92708(714) 486-1228(714) 486-3108 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 4, 2025, Jan 30, 2023, Feb 5, 2016 (3 updates tracked since 2016).

About Krystal Pham Ob Gyn Inc NPPES

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

KRYSTAL PHAM OB GYN INC (NPI 1629436514) is a healthcare organization registered as an obstetrics & gynecology in Fountain Valley, California and active in the NPI registry since February 2016. The organization lists Krystal Hanhtran Pham, President, as its authorized official.

NPPES Registry Identity

NPI1629436514
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameKRYSTAL PHAM OB GYN INC
Location Address11160 WARNER AVE STE 219Fountain Valley, CA 92708-4048
Mailing Address11160 Warner Ave Ste 219Fountain Valley, CA 92708-4048 · (714) 486-1228 · Fax (714) 486-3108
Phone(714) 486-1228
Fax(714) 486-3108
Organization SubpartNo
Authorized OfficialKrystal Hanhtran PhamPresident · (702) 335-5421
Enumeration DateFebruary 5, 2016
Last NPPES UpdateSeptember 4, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
✔ NPI 1629436514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · A114075
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
11160 WARNER AVE STE 219, Fountain Valley, CA 92708
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Krystal Pham Ob Gyn Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Krystal Pham Ob Gyn Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Krystal Pham, MD
Obstetrics/Gynecology
NPI 1710001763
11160 WARNER AVE STE 219
Fountain Valley, CA 92708
(714) 486-1228
✔ PECOS✔ Accepts MedicareSame address

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

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 Krystal Pham Ob Gyn Inc's NPI number?

The NPI number for Krystal Pham Ob Gyn Inc is 1629436514. It was assigned to this organization in the NPPES registry on February 5, 2016.

Where is Krystal Pham Ob Gyn Inc located?

Krystal Pham Ob Gyn Inc is located at 11160 Warner Ave Ste 219, Fountain Valley, CA 92708. The listed phone number is (714) 486-1228.

What is Krystal Pham Ob Gyn Inc's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Krystal Pham Ob Gyn Inc enrolled in Medicare?

Yes. Krystal Pham Ob Gyn Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Krystal Pham Ob Gyn Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Krystal Pham Ob Gyn Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Krystal Pham Ob Gyn Inc was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.