Physician Compare National (NPI:1043368855)

HEALTHCARE PROVIDER: JOSEPH PHAM MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1043368855
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4385702877
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20081028000518
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PHAM
	Individual professional last name
Provider First Name	JOSEPH
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK MEDICAL COLLEGE
	Individual professional's medical school
Graduation Year	1990
	Individual professional's medical school graduation year
Primary Specialty	PAIN MANAGEMENT
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERVENTIONAL PAIN MANAGEMENT
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	PHYSICAL MEDICINE AND REHABILITATION
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERVENTIONAL PAIN MANAGEMENT, PHYSICAL MEDICINE AND REHABILITATION
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	6002729175
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	6474
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1011 BALDWIN PARK BLVD
	Group Practice or individual's line 1 address
City	BALDWIN PARK
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	917065806
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y