QUANTIN THIEN PHAM PA
NPI 1053082750
Physician Assistant - Surgical in Fullerton, CA

Active since September 22, 2021PECOS EnrolledAccepts Medicare Assignment
87.81/100
CMS Quality Rating
100 E VALENCIA MESA DR STE 310, FULLERTON, CA 92835(714) 734-3120 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 17, 2023, Sep 22, 2021 (2 updates tracked since 2021).

About Quantin Thien Pham Pa NPPES

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

QUANTIN THIEN PHAM PA (NPI 1053082750) is an individual surgical provider in Fullerton, California, licensed in California (62320) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Anaheim, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1053082750
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameQUANTIN THIEN PHAMCredential: PA
Location Address100 E VALENCIA MESA DR STE 310Fullerton, CA 92835-3800
Mailing Address100 E Valencia Mesa Dr Ste 310Fullerton, CA 92835-3800 · (714) 734-3120
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 22, 2021
Last NPPES UpdateApril 29, 20252 updates tracked since enumeration
NPPES CertifiedApril 29, 2025
NPI 1053082750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CA · 62320
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
100 E VALENCIA MESA DR STE 310, Fullerton, CA 92835

Secondary Practice Location 1

Location 1631 S Brookhurst St Ste 101Anaheim, CA 92804-3563 · Phone (714) 991-5700

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

Quantin Thien Pham Pa 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 ID4981094224
PECOS Enrollment IDI20230531001299
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40
Cost61.22

Other Providers at the Same Location NPPES 11

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

Anesthesiology (Pain Medicine)
100 E VALENCIA MESA DR STE 310
FULLERTON, CA 92835
Physician Assistant
100 E VALENCIA MESA DR STE 310
FULLERTON, CA 92835
Nurse Practitioner
100 E VALENCIA MESA DR STE 310
FULLERTON, CA 92835
Physician Assistant
100 E VALENCIA MESA DR STE 310
FULLERTON, CA 92835
Nurse Practitioner (Family)
100 E VALENCIA MESA DR STE 310
FULLERTON, CA 92835
Physician Assistant (Surgical)
100 E VALENCIA MESA DR STE 310
FULLERTON, CA 92835
Physician Assistant (Surgical)
100 E VALENCIA MESA DR STE 310
FULLERTON, CA 92835
Physical Medicine & Rehabilitation (Pain Medicine)
100 E VALENCIA MESA DR STE 310
FULLERTON, CA 92835

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 Quantin Pham's NPI number?

The NPI number for Quantin Pham is 1053082750. It was assigned to this individual provider in the NPPES registry on September 22, 2021.

Where is Quantin Pham located?

Quantin Pham practices at 100 E Valencia Mesa Dr Ste 310, Fullerton, CA 92835. The listed phone number is (714) 734-3120.

What is Quantin Pham's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Quantin Pham enrolled in Medicare?

Yes. Quantin 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 Quantin Pham was last updated on April 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.