Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1346446481 Deactivated / Inactive NPI Male Practitioner

Dr. Dai Tu Pham , MD

General Practice • San Jose, 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. Dai Pham has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 25, 2007
NPI Deactivation Date September 08, 2021
Total Practice Duration ~14 Years of Practice (2007 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Dai Pham, MD was a registered General Practice practicing in San Jose, CA. Throughout an active medical career spanning 14 years, Dr. Pham provided care at the practice location at 10 S 14TH ST until profile deactivation on 2021-09-08.

Practice Location & Contact Primary Location

Practice Address

10 S 14th St

San Jose, CA 951122015

Telephone 4082837230
Fax 4082837232

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in San Jose, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 34.7 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
38 Specialists

Practicing in San Jose, CA (2300 Statewide)

Telehealth Adoption Rate
2.6% 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

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CA A50227

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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 September 08, 2021

Record deactivated on September 08, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 10 S 14TH ST, SAN JOSE, CA 951122015 (Tel: 4082837230)

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Updated Business Mailing Address July 08, 2007

Registered at 10 S 14TH ST, SAN JOSE, CA 951122015 (Tel: 4082837230)

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Provider Name / Credentials Updated July 08, 2007

Recorded as DAI PHAM, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice (License #A50227 in CA)

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Initial NPI Registration & Enumeration June 25, 2007

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: 1346446481
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2007
Last Update: July 08, 2007
Deactivation Date: September 08, 2021

Mailing Address

10 S 14th St

San Jose, CA 951122015

Phone: 4082837230

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.