David Pham
Physical Therapist in Santa Ana, CA. Individual provider (NPI-1).
NPI number1023612751
StatusActive
Last updated in NPPESNov 23, 2020
Details
- NPI
- 1023612751
- Entity type
- Individual (NPI-1)
- Name
- David Pham
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 23, 2020
- Certification date
- Nov 23, 2020
- Last updated
- Nov 23, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT299424 | CA | Yes |
Practice location
3100 W Warner AveSanta Ana, CA 92704-5331
Phone 714-546-4233
Mailing address
14302 Lyndon StGarden Grove, CA 92843-4637
Phone 518-229-3189
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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