HOANG VU KHAC PHAM DPT
NPI 1962170134
Clinic/Center - Physical Therapy in Los Angeles, CA

Active since September 02, 2021Accepts Medicare Assignment
330 N HAYWORTH AVE, LOS ANGELES, CA 90048(323) 852-9200 Get Directions Write a Review

NPPES record last updated: September 7, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Hoang Vu Khac Pham Dpt NPPES

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

HOANG VU KHAC PHAM DPT (NPI 1962170134) is an individual physical therapy provider in Los Angeles, California and active in the NPI registry since September 2021. He is a graduate of Other (2021).

NPPES Registry Identity

NPI1962170134
Entity TypeIndividualMale
Primary Taxonomy261QP2000X
Provider Legal NameHOANG VU KHAC PHAMCredential: DPT
Location Address330 N HAYWORTH AVELos Angeles, CA 90048-2702
Mailing Address20231 Stagg StWinnetka, CA 91306-2514 · (818) 274-2320
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 2, 2021
Last NPPES UpdateSeptember 7, 2021
NPPES CertifiedSeptember 7, 2021
✔ NPI 1962170134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
330 N HAYWORTH AVE, Los Angeles, CA 90048

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

Hoang Vu Khac Pham Dpt 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 ID7012361967
PECOS Enrollment IDI20230926001904

Medicare Billing Reassignments

2

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

Sports Medicine
6545 FLYING CLOUD DR STE 201
Eden Prairie, MN 55344
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Odom Sports Medicine PA
  • 92 clinicians in this Medicare group
Rehabilitation
2600 COMPASS RD
Glenview, IL 60026
  • Reassigned Medicare billing, Minnesota enrollment
  • 7 clinicians in this Medicare group

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 90048 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
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 6

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

Occupational Therapist
330 N HAYWORTH AVE
LOS ANGELES, CA 90048
Physical Therapy Assistant
330 N HAYWORTH AVE
LOS ANGELES, CA 90048
Physical Therapy Assistant
330 N HAYWORTH AVE
LOS ANGELES, CA 90048
Occupational Therapy Assistant
330 N HAYWORTH AVE
LOS ANGELES, CA 90048
Physical Therapist
330 N HAYWORTH AVE
LOS ANGELES, CA 90048
Occupational Therapy Assistant
330 N HAYWORTH AVE
LOS ANGELES, CA 90048

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 Hoang Vu Pham's NPI number?

The NPI number for Hoang Vu Pham is 1962170134. It was assigned to this individual provider in the NPPES registry on September 2, 2021.

Where is Hoang Vu Pham located?

Hoang Vu Pham practices at 330 N Hayworth Ave, Los Angeles, CA 90048. The listed phone number is (323) 852-9200.

What is Hoang Vu Pham's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Hoang Vu Pham enrolled in Medicare?

Yes. Hoang Vu 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 Hoang Vu Pham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hoang Vu Pham reassigns Medicare benefits to 2 organizations: Odom Sports Medicine, P.A. (Eden Prairie, MN) and Select Rehabilitation, LLC (Glenview, IL). 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 Hoang Vu 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 Hoang Vu Pham was last updated on September 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.