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

Connie Pham, DO

Individual provider Family Medicine Physician · NPI 1073967584

Connie Pham, DO is a Family Practice in Costa Mesa, California. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2016, 10 years ago. Practices with Memorialcare Medical Foundation, a 562-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California, Florida and Texas.

Years since qualifying
10
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
CA, FL, TX
In the registry since
2016
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1190 Baker St Ste 100
Costa Mesa, CA 92626-4105
Phone: (949) 791-3250
Fax: (949) 791-3261
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20A23711 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence OS0021627 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence S1221 (TX)

Record details

NPI number1073967584
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 20, 2016
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025
Mailing address1190 Baker St Ste 100, Costa Mesa, CA 92626-4105

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2016 (10 years in practice)
Group practice Memorialcare Medical Foundation — 562 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Costa Mesa