MYCHELLE N. PHAM M.D.
NPI 1770679508
Pediatrics in Orange, CA

Q: What is Mychelle Pham's NPI number?

The NPI number for Mychelle Pham is 1770679508. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Q: What is Mychelle Pham's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Mychelle Pham was last updated on June 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 October 05, 2006

455 S MAIN ST, ORANGE, CA 92868(714) 532-8620(714) 289-4072 Get Directions Write a Review

NPPES record last updated: June 29, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Mychelle N. Pham M.d. NPPES

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

MYCHELLE N. PHAM M.D. (NPI 1770679508) is an individual pediatrics provider in Orange, California, licensed in California (A81905) and active in the NPI registry since October 2006. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1770679508

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMYCHELLE N. PHAMCredential: M.D.

Location Address455 S MAIN STOrange, CA 92868-3835

Mailing Address455 S Main StOrange, CA 92868-3835 · (714) 289-4511 · Fax (714) 204-3212

Phone(714) 532-8620

Fax(714) 289-4072

Sole ProprietorNo

Enumeration DateOctober 5, 2006

Last NPPES UpdateJune 29, 2020

NPPES CertifiedJune 29, 2020

✔ NPI 1770679508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A81905

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

455 S MAIN ST, Orange, CA 92868

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Secondary Practice Locations 2

Location 12212 E 4th St Ste 201Santa Ana, CA 92705-3872 · Phone (714) 288-3230

Location 25630 E Santa Ana Canyon Rd Ste 100Anaheim, CA 92807-3122 · Phone (714) 257-6170

Other Identifiers 3

Medicaid00A819050CA

OtherW16177CA · Medicare Grp

OtherHW16177CA · Medicare Grp

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.

PEDIATRIC SUBSPECIALTY FACULTY, INC.

Surgery (Pediatric Surgery)

455 S MAIN ST, GENERAL SURGERY
ORANGE, CA 92868

Orange County (714) 364-4050

PEI LIN CHANG M.D.

Pediatrics