MISS LOAN VU MINH PHAM DNP
NPI 1053440065
Nurse Practitioner - Family in Fife, WA
About Miss Loan Vu Minh Pham Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS LOAN VU MINH PHAM DNP (NPI 1053440065) is an individual family provider in Fife, Washington, licensed in California (16368) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Miss Loan Vu Minh Pham Dnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Loan Pham reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mountlake Terrace, WA 98043
- Reassigned Medicare billing, Washington enrollment
- 777 clinicians in this Medicare group
Keizer, OR 97303
- Reassigned Medicare billing, Washington enrollment
Valencia, CA 91355
- Reassigned Medicare billing, California enrollment
- 684 clinicians in this Medicare group
Santa Ana, CA 92706
- Reassigned Medicare billing, California enrollment
Irvine, CA 92604
- Reassigned Medicare billing, California enrollment
- 212 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98424 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FIFE, WA 98424
FIFE, WA 98424
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 Loan Pham's NPI number?
The NPI number for Loan Pham is 1053440065. It was assigned to this individual provider in the NPPES registry on March 5, 2007.
Where is Loan Pham located?
Loan Pham practices at 4505 Pacific Hwy E Ste C2, Fife, WA 98424. The listed phone number is (714) 880-5065.
What is Loan Pham's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Loan Pham enrolled in Medicare?
Yes. Loan Pham is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Loan Pham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Loan Pham reassigns Medicare benefits to 5 organizations: Mindful Therapy Group PC (Mountlake Terrace, WA), Powered By Self Love Oregon LLC (Keizer, OR), Providence Facey Medical Foundation (Valencia, CA), Selflove Empowerment Institute, Inc (Santa Ana, CA) and Minuteclinic Diagnostic Medical Group Of Orange County Inc (Irvine, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Loan Pham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Loan Pham accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Loan Pham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Loan Pham was last updated on October 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Miss Loan Vu Minh Pham, DNP · NPI 1053440065
Family physician in Fife, Washington. Individual provider, active in the CMS NPPES registry since March 5, 2007.
## Identity
- **NPI:** 1053440065 (Entity type: Individual)
- **Enumerated:** March 5, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 16368 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4505 PACIFIC HWY E STE C2, Fife, WA 98424-2638
- **Phone:** (714) 880-5065
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Mindful Therapy Group PC (NPI 1316238678, Mountlake Terrace, WA); Powered By Self Love Oregon LLC (NPI 1821730417, Keizer, OR); Providence Facey Medical Foundation (NPI 1710031588, Valencia, CA); Selflove Empowerment Institute, Inc (NPI 1518749019, Santa Ana, CA); Minuteclinic Diagnostic Medical Group Of Orange County Inc (NPI 1104013879, Irvine, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 23, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1053440065) · Data from the CMS NPPES public registry.