MISS LOAN VU MINH PHAM (DNP) – Family Nurse Practitioner, NPI 1053440065
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MISS LOAN VU MINH PHAM (DNP)
17174 SANTA BARBARA ST
FOUNTAIN VALLEY, CA 92708
Phone: (916) 671-4612
Type: Mailing
CAREMORE
12900 PARK PLAZA DR
CERRITOS, CA 90703
Phone: (562) 977-4639
Fax: (562) 741-4479
Type: Location
CareMore
12900 Park Plaza Dr
Cerritos, CA 90703
Phone: (562) 977-4639
Fax: (562) 741-4479
Type: Location
3345 Michelson Dr Ste 100
Irvine, CA 926120693
Phone: (888) 227-3312
Type: Location
3345 MICHELSON DR STE 100
IRVINE, CA 926120693
Phone: (888) 227-3312
Type: Mailing
4505 PACIFIC HWY E STE C2
FIFE, WA 984242638
Phone: (714) 880-5065
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $744.
Total Amount is formed as General ($744) + Research ($0) + Ownership ($0) = $744.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Vanda Pharmaceuticals Inc. ($250).
Total Amount
$744
General + Research + Ownership
Payments
7
Total payment records
General Amount
$744
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Vanda Pharmaceuticals Inc. | $250 |
| Teva Pharmaceuticals USA, Inc. | $125 |
| ABBVIE INC. | $124 |
| Alexion Pharmaceuticals, Inc. | $119 |
| Incyte Corporation | $110 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-11-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070606000406 | I | Nurse Practitioner | CA | TBD |
| I20211117001593 | I | Nurse Practitioner | WA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92708)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| - | CA | |
| - | CA | |
| Gastroenterology, Internal Medicine | CA | |
| - | CA | |
| Family Practice | CA | |
| Family Practice | CA | |
| Physician Assistant | CA | |
| Family Practice | CA | |
| Emergency Medicine | CA |
Reviews
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