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

Anthony Bao Pham

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1629796438

Anthony Bao Pham is a Nurse Practitioner in Anaheim, California. Qualified in 2022, 4 years ago. Practices with Mental Health and Nursing PC, an 11-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
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Practice location Address checks out

421 N Brookhurst St Ste 119
Anaheim, CA 92801-5618
Phone: (714) 361-0898
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95021385 (CA)

Record details

NPI number1629796438
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 17, 2022
Last updated in NPPESJune 29, 2023
Certification dateJune 29, 2023
Mailing address421 N Brookhurst St Ste 119, Anaheim, CA 92801-5618

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Mental Health And Nursing Pc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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