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KATHY NGUYEN-PHAM
NPI 1043095862
Physician Assistant in San Diego, CA

Active since August 29, 2023PECOS EnrolledAccepts Medicare Assignment
4060 FOURTH AVE STE 505, SAN DIEGO, CA 92103(619) 298-1318(619) 298-0843 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 23, 2025, Aug 29, 2023 (2 updates tracked since 2023).

About Kathy Nguyen-pham NPPES

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

KATHY NGUYEN-PHAM (NPI 1043095862) is an individual physician assistant in San Diego, California, licensed in California (66024) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1043095862
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATHY NGUYEN-PHAM
Location Address4060 FOURTH AVE STE 505San Diego, CA 92103-2121
Mailing Address4060 Fourth Ave Ste 505San Diego, CA 92103-2121 · (619) 298-1318 · Fax (619) 298-0843
Phone(619) 298-1318
Fax(619) 298-0843
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 29, 2023
Last NPPES UpdateMay 23, 20252 updates tracked since enumeration
NPPES CertifiedMay 23, 2025
✔ NPI 1043095862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 66024
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4060 FOURTH AVE STE 505, San Diego, CA 92103
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kathy Nguyen-pham is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385150036
PECOS Enrollment IDI20250721002199
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

MARK D MOSSON M.D.
Internal Medicine
4060 FOURTH AVE STE 505
SAN DIEGO, CA 92103
San Diego County (619) 298-1318
SPENCER HOOSTAL MD
Internal Medicine
4060 FOURTH AVE STE 505
SAN DIEGO, CA 92103
San Diego County (619) 298-1318

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 Kathy Nguyen-pham's NPI number?

The NPI number for Kathy Nguyen-pham is 1043095862. It was assigned to this individual provider in the NPPES registry on August 29, 2023.

Where is Kathy Nguyen-pham located?

Kathy Nguyen-pham practices at 4060 Fourth Ave Ste 505, San Diego, CA 92103. The listed phone number is (619) 298-1318.

What is Kathy Nguyen-pham's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kathy Nguyen-pham enrolled in Medicare?

Yes. Kathy Nguyen-pham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kathy Nguyen-pham was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.