Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alfonso N. Pham, MD

Individual provider Body Imaging Physician · NPI 1053488940

Alfonso N. Pham, MD is an Interventional Radiology in Anaheim, California. Qualified in 1993, 33 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
33
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

441 N Lakeview Ave
Anaheim, CA 92807-3028
Phone: (888) 988-2800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Body Imaging Physician (primary) Taxonomy 2085B0100X · Licence A69597 (CA)

Record details

NPI number1053488940
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 29, 2006
Last updated in NPPESDecember 2, 2021
Mailing address441 N Lakeview Ave, Anaheim, CA 92807-3028

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL RADIOLOGY
Also practisesNUCLEAR MEDICINE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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