VICKY PHAM
NPI 1851022073
Nurse Practitioner - Primary Care in Garden Grove, CA

Q: What is Vicky Pham's NPI number?

The NPI number for Vicky Pham is 1851022073. It was assigned to this individual provider in the NPPES registry on June 20, 2022.

Q: What is Vicky Pham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Vicky Pham was last updated on August 19, 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 June 20, 2022

12351 PENTAGON ST, GARDEN GROVE, CA 92841(714) 383-4670 Get Directions Write a Review

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Vicky Pham NPPES

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

VICKY PHAM (NPI 1851022073) is an individual primary care provider in Garden Grove, California, licensed in California (95021273) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1851022073

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameVICKY PHAM

Location Address12351 PENTAGON STGarden Grove, CA 92841-3326

Mailing Address4152 Katella Ave Ste 201Los Alamitos, CA 90720-6608 · (562) 598-0600 · Fax (562) 598-0678

Phone(714) 383-4670

Sole ProprietorYes

Enumeration DateJune 20, 2022

Last NPPES UpdateAugust 19, 2022

NPPES CertifiedAugust 17, 2022

✔ NPI 1851022073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in CA · 95021273

12351 PENTAGON ST, Garden Grove, CA 92841

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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 Vicky Pham's NPI number?

The NPI number for Vicky Pham is 1851022073. It was assigned to this individual provider in the NPPES registry on June 20, 2022.

Where is Vicky Pham located?

Vicky Pham practices at 12351 Pentagon St, Garden Grove, CA 92841. The listed phone number is (714) 383-4670.

What is Vicky Pham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Vicky Pham was last updated on August 19, 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.