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

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: October 18, 2026.

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 ↗

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Anthony Pham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health And Nursing PC
0.1 mi
Psychiatric/Mental Health
421 N BROOKHURST ST STE 119
Anaheim, CA 92801
  • Reassigned Medicare billing, California enrollment
  • 40 clinicians in this Medicare group
NPI 1528693579 (714) 361-0898
Renewed Medical Group, A Professional Medical Corporation
0.1 mi
Psychiatry
421 N BROOKHURST ST STE 128
Anaheim, CA 92801
  • Reassigned Medicare billing, California enrollment
  • 26 clinicians in this Medicare group
NPI 1922785690 (714) 361-0898

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 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.

Other Providers at the Same Location NPPES 16

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)
421 N BROOKHURST ST STE 119
ANAHEIM, CA 92801
Orange County (714) 361-0898
KIMBERLY LEONG MA
Marriage & Family Therapist
421 N BROOKHURST ST STE 119
ANAHEIM, CA 92801
Orange County (714) 361-0898
SHAHEENA GAZIPURA
Nurse Practitioner (Psychiatric/Mental Health)
421 N BROOKHURST ST STE 119
ANAHEIM, CA 92801
Orange County (714) 361-0898
MR. KYO CHAN MUN L.AC
Acupuncturist
421 N BROOKHURST ST STE 119
ANAHEIM, CA 92801
Orange County (714) 533-8575
CARISSA NICOLE MENDEZ-MUNDER ACSW
Counselor (Mental Health)
421 N BROOKHURST ST STE 119
ANAHEIM, CA 92801
Orange County (714) 831-0235
HEATHER EGENBERGER
Marriage & Family Therapist
421 N BROOKHURST ST STE 119
ANAHEIM, CA 92801
Orange County (714) 361-0898
MARK YOUSSEF
Marriage & Family Therapist
421 N BROOKHURST ST STE 119
ANAHEIM, CA 92801
Orange County (714) 497-3130
MENTAL HEALTH AND NURSING PC
Nurse Practitioner (Psychiatric/Mental Health)
421 N BROOKHURST ST STE 119
ANAHEIM, CA 92801
Orange County (714) 361-0898

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 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.

Where is Anthony Pham located?

Anthony Pham practices at 421 N Brookhurst St Ste 119, Anaheim, CA 92801. The listed phone number is (714) 361-0898.

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.

Is Anthony Pham enrolled in Medicare?

Yes. Anthony 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.

Which organizations bill Medicare for Anthony Pham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Pham reassigns Medicare benefits to 2 organizations: Mental Health And Nursing PC (Anaheim, CA) and Renewed Medical Group, A Professional Medical Corporation (Anaheim, CA). Each 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 Anthony Pham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Anthony Pham was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.