IndividualActive
Phat Pham
NPI 1477300630 · Behavior Technician · Garden Grove, CA
Phat Pham is a Behavior Technician provider in Garden Grove, CA (NPI 1477300630).
Provider details
- NPI number
- 1477300630
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(50/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12111 Nelson St
Garden Grove, CA 92840-3200
Phone: (657) 722-9774
Street-level locationGet directions
Mailing address
12111 Nelson St
Garden Grove, CA 92840-3200
Registry dates
- Enumerated
- 2024-05-03
- Last updated
- 2024-05-03
- Certified
- 2024-05-03
Frequently asked questions
- What is Phat Pham's NPI number?
- Phat Pham's National Provider Identifier (NPI) is 1477300630, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Phat Pham's specialty?
- Phat Pham is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Phat Pham located?
- Phat Pham's practice location on file with NPPES is 12111 Nelson St, Garden Grove, CA 92840-3200.
- What is Phat Pham's phone number?
- The practice phone number listed in the NPPES registry for Phat Pham is (657) 722-9774.
- Is Phat Pham's NPI active?
- Yes — Phat Pham's NPI (1477300630) is active in the NPPES registry as of the last update on 2024-05-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.