1. Home
  2. Directory
  3. California
  4. Palo Alto
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

KIMBERLY PHAM OD
NPI 1023351806
Student in an Organized Health Care Education/Training Program in Palo Alto, CA

Active since March 31, 2013PECOS Enrolled
3801 MIRANDA AVE, PALO ALTO, CA 94304(650) 493-5000 Get Directions Write a Review

NPPES record last updated: October 25, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kimberly Pham Od NPPES

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

KIMBERLY PHAM OD (NPI 1023351806) is an individual student in an organized health care education/training program in Palo Alto, California and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023351806
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKIMBERLY PHAMCredential: OD
Location Address3801 MIRANDA AVEPalo Alto, CA 94304-1207
Mailing Address1522 Meadow Glen WaySan Jose, CA 95121-1837
Phone(650) 493-5000
Sole ProprietorNo
Enumeration DateMarch 31, 2013
Last NPPES UpdateOctober 25, 2022
NPPES CertifiedOctober 25, 2022
✔ NPI 1023351806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3801 MIRANDA AVE, Palo Alto, CA 94304
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Pham Od 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 20

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

DR. LAURA ELIZABETH STODDARD PHARMD
Pharmacist
3801 MIRANDA AVE
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000
DR. KEVIN MCKENNA PH.D.
Psychologist (Clinical)
3801 MIRANDA AVE
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000
VALLANCE WA-LUN AU-YEUNG PHARMD
Pharmacist
3801 MIRANDA AVE
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000
ARLENE VICENTE-VELASCO
Registered Nurse
3801 MIRANDA AVE
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000
MAHNOOSH KUHBANANI SEIFODDINI M.D.
Internal Medicine
3801 MIRANDA AVE, VA PALO ALTO HEALTH CARE SYSTEM (111STC)
PALO ALTO, CA 94304
Santa Clara County (209) 946-3400
DR. EDWARD LEE COHEN MD
Obstetrics & Gynecology
3801 MIRANDA AVE, #112
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000
MRS. JEAN JONES GURGA OTR/L
Occupational Therapist
3801 MIRANDA AVE, PMRS (117)
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000
MS. ELLEN WHITE FORD LCSW, MSW, MPH
Social Worker (Clinical)
3801 MIRANDA AVE, VAPAHCS SOCIAL WORK SERVICE, 122 PA
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Pham's NPI number?

The NPI number for Kimberly Pham is 1023351806. It was assigned to this individual provider in the NPPES registry on March 31, 2013.

Where is Kimberly Pham located?

Kimberly Pham practices at 3801 Miranda Ave, Palo Alto, CA 94304. The listed phone number is (650) 493-5000.

What is Kimberly Pham's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kimberly Pham enrolled in Medicare?

Yes. Kimberly Pham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Pham was last updated on October 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.