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PETER PHAM NURSING CORPORATION
NPI 1750082780
Nurse Practitioner - Psychiatric/Mental Health in Orange, CA

Active since March 16, 2023
1100 W TOWN AND COUNTRY RD STE 1239, ORANGE, CA 92868(714) 880-2791(949) 229-0854 Get Directions Write a Review

NPPES record last updated: November 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 17, 2023, Mar 17, 2023 (2 updates tracked since 2023).

About Peter Pham Nursing Corporation NPPES

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

PETER PHAM NURSING CORPORATION (NPI 1750082780), doing business as Black Onyx, is a healthcare organization registered as a psychiatric/mental health in Orange, California and active in the NPI registry since March 2023. The organization lists Peter Pham, Mr, as its authorized official.

NPPES Registry Identity

NPI1750082780
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePETER PHAM NURSING CORPORATION
Location Address1100 W TOWN AND COUNTRY RD STE 1239Orange, CA 92868-4600
Mailing Address1100 W Town And Country Rd Ste 1239Orange, CA 92868-4600 · (714) 880-2791
Phone(714) 880-2791
Fax(949) 229-0854
Organization SubpartNo
Authorized OfficialPeter PhamMr · (714) 410-6588
Enumeration DateMarch 16, 2023
Last NPPES UpdateNovember 17, 20232 updates tracked since enumeration
NPPES CertifiedNovember 17, 2023
✔ NPI 1750082780 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
1100 W TOWN AND COUNTRY RD STE 1239, Orange, CA 92868
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Other Names 2

Other NamePeter Pham Nursing Corporation
Doing Business AsBlack Onyx

Other Identifiers 2

Medicaid1104472174CA
Medicaid1366908543CA

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

PETER PHAM NP
Nurse Practitioner (Psychiatric/Mental Health)
1100 W TOWN AND COUNTRY RD STE 1239
ORANGE, CA 92868
Orange County (949) 229-0854
CHRISTINE XUAN PHAM R.D.
Dietitian, Registered
1100 W TOWN AND COUNTRY RD STE 1239
ORANGE, CA 92868
Orange County (808) 371-3738
MINDTALITY LLC
Nurse Practitioner (Psychiatric/Mental Health)
1100 W TOWN AND COUNTRY RD STE 1239
ORANGE, CA 92868
Orange County (714) 451-4880

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 Peter Pham Nursing Corporation's NPI number?

The NPI number for Peter Pham Nursing Corporation is 1750082780. It was assigned to this organization in the NPPES registry on March 16, 2023. The provider is doing business as Black Onyx.

Where is Peter Pham Nursing Corporation located?

Peter Pham Nursing Corporation is located at 1100 W Town And Country Rd Ste 1239, Orange, CA 92868. The listed phone number is (714) 880-2791.

What is Peter Pham Nursing Corporation's specialty?

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

When was this NPI record last updated?

The NPPES record for Peter Pham Nursing Corporation was last updated on November 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.