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

Jonathan Pham, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1053298406

Jonathan Pham, FNP-BC is a Nurse Practitioner in Fountain Valley, California. Qualified in 2025, 1 year ago. Practices with Alpha Hospitalist Group Inc, a 13-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2025
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

17150 Euclid St Ste 200
Fountain Valley, CA 92708-4092
Phone: (714) 395-4595
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95036371 (CA)

Record details

NPI number1053298406
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedAugust 18, 2025
Last updated in NPPESAugust 18, 2025
Certification dateAugust 18, 2025
Mailing address12772 9th St, Garden Grove, CA 92840-5406

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Alpha Hospitalist Group Inc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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