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Deactivated NPI 1801196159 Deactivated / Inactive NPI Male Practitioner

Dr. Luong Nguyen Pham , MD

Specialist • Irvine, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Luong Pham has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 02, 2010
NPI Deactivation Date May 18, 2018
Total Practice Duration ~8 Years of Practice (2010 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Luong Pham, MD was a registered Specialist practicing in Irvine, CA. Throughout an active medical career spanning 8 years, Dr. Pham provided care at the practice location at 103 BRIAR LANE until profile deactivation on 2018-05-18.

Practice Location & Contact Primary Location

Practice Address

103 Briar Lane

Irvine, CA 926020784

Telephone 7147262513

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Irvine, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 42.9 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
44 Specialists

Practicing in Irvine, CA (6446 Statewide)

Telehealth Adoption Rate
2.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CA A44339

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 18, 2018

Record deactivated on May 18, 2018

NPI Profile Active November 02, 2010

NPI status registered as active in NPPES database

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Updated Practice Location November 02, 2010

Registered at 103 BRIAR LANE, IRVINE, CA 926020784 (Tel: 7147262513)

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Updated Business Mailing Address November 02, 2010

Registered at 103 BRIAR LN, IRVINE, CA 926020784 (Tel: 7147262513)

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Provider Name / Credentials Updated November 02, 2010

Recorded as LUONG PHAM, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2010

Specialist (License #A44339 in CA)

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Initial NPI Registration & Enumeration November 02, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801196159
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 02, 2010
Last Update: November 02, 2010
Deactivation Date: May 18, 2018

Mailing Address

103 Briar Ln

Irvine, CA 926020784

Phone: 7147262513

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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