DR. AMANDA LYNN PHAM D.O.
NPI 1740641620
Psychiatry & Neurology - Child & Adolescent Psychiatry in Santa Ana, CA

Q: What is Amanda Pham's NPI number?

The NPI number for Amanda Pham is 1740641620. It was assigned to this individual provider in the NPPES registry on March 18, 2016.

Q: What is Amanda Pham's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Pham was last updated on August 30, 2022. 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.

Active since March 18, 2016PECOS Enrolled

2677 N MAIN ST STE 130, SANTA ANA, CA 92705(714) 274-7577 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 30, 2022, Feb 15, 2021, Mar 18, 2016 (3 updates tracked since 2016).

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About Dr. Amanda Lynn Pham D.o. NPPES

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

DR. AMANDA LYNN PHAM D.O. (NPI 1740641620) is an individual child & adolescent psychiatry provider in Santa Ana, California, licensed in California (20A17059) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740641620

Entity TypeIndividualFemale

Primary Taxonomy2084P0804X

Provider Legal NameDR. AMANDA LYNN PHAMCredential: D.O.

Location Address2677 N MAIN ST STE 130Santa Ana, CA 92705-6665

Mailing Address2913 El Camino Real # 730Tustin, CA 92782-8909 · (714) 510-2474

Phone(714) 274-7577

Sole ProprietorNo

Enumeration DateMarch 18, 2016

Last NPPES UpdateAugust 30, 20223 updates tracked since enumeration

NPPES CertifiedAugust 30, 2022

✔ NPI 1740641620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in CA · 20A17059

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 20A17059 (CA)

2677 N MAIN ST STE 130, Santa Ana, CA 92705

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Amanda Lynn Pham D.o. 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.

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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.

DENISE GARCIA

Marriage & Family Therapist