VI T PHAM PA-C
NPI 1003342981
Physician Assistant - Medical in Pueblo, CO

Q: What is Vi Pham's NPI number?

The NPI number for Vi Pham is 1003342981. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Q: What is Vi Pham's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Vi Pham was last updated on May 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 11, 2017PECOS Enrolled

1080 CHINOOK LN, PUEBLO, CO 81001(719) 564-9400(719) 564-0497 Get Directions Write a Review

NPPES record last updated: May 11, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Vi T Pham Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VI T PHAM PA-C (NPI 1003342981) is an individual medical provider in Pueblo, Colorado, licensed in Colorado (PA.0004927) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003342981

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameVI T PHAMCredential: PA-C

Location Address1080 CHINOOK LNPueblo, CO 81001-1850

Mailing Address1080 Chinook LnPueblo, CO 81001-1850 · (719) 564-9400 · Fax (719) 564-0497

Phone(719) 564-9400

Fax(719) 564-0497

Sole ProprietorNo

Enumeration DateMay 11, 2017

✔ NPI 1003342981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CO · PA.0004927

1080 CHINOOK LN, Pueblo, CO 81001

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Other Identifiers 1

OtherPA.0004927CO · Dora Medical Board.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vi T Pham Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEALTH SOLUTIONS FAMILY PRACTICE AND WALK-IN CLINIC

Clinic/Center (Primary Care)