ANTHONY BAO PHAM
NPI 1629796438
Nurse Practitioner - Psychiatric/Mental Health in Anaheim, CA

Q: What is Anthony Pham's NPI number?

The NPI number for Anthony Pham is 1629796438. It was assigned to this individual provider in the NPPES registry on August 17, 2022.

Q: What is Anthony Pham's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Anthony Pham was last updated on June 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 17, 2022PECOS EnrolledAccepts Medicare Assignment

421 N BROOKHURST ST STE 119, ANAHEIM, CA 92801(714) 361-0898 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Anthony Bao Pham NPPES

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

ANTHONY BAO PHAM (NPI 1629796438) is an individual psychiatric/mental health provider in Anaheim, California, licensed in California (95021385) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1629796438

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameANTHONY BAO PHAM

Location Address421 N BROOKHURST ST STE 119Anaheim, CA 92801-5618

Mailing Address421 N Brookhurst St Ste 119Anaheim, CA 92801-5618

Phone(714) 361-0898

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 17, 2022

Last NPPES UpdateJune 29, 2023

NPPES CertifiedJune 29, 2023

✔ NPI 1629796438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95021385

421 N BROOKHURST ST STE 119, Anaheim, CA 92801

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

Anthony Bao Pham 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 ID8426421280

PECOS Enrollment IDI20230227002268

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.

Leave this field empty

Other Providers at the Same Location NPPES 15

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

DR. DAVE RAVI M.D.

Psychiatry & Neurology (Psychiatry)