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JAESON PHAM NP
NPI 1083310999
Nurse Practitioner - Acute Care in Santa Ana, CA

Active since February 02, 2023PECOS EnrolledAccepts Medicare Assignment
801 N TUSTIN AVE STE 507, SANTA ANA, CA 92705(949) 566-8888 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 3, 2024, Jul 26, 2023, Feb 2, 2023 (3 updates tracked since 2023).

About Jaeson Pham Np NPPES

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

JAESON PHAM NP (NPI 1083310999) is an individual acute care provider in Santa Ana, California, licensed in California (95024118) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1083310999
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameJAESON PHAMCredential: NP
Location Address801 N TUSTIN AVE STE 507Santa Ana, CA 92705-3609
Mailing Address8605 Santa Monica Blvd, Pmb 410909West Hollywood, CA 90069-6313
Phone(949) 566-8888
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 2, 2023
Last NPPES UpdateApril 3, 20243 updates tracked since enumeration
NPPES CertifiedApril 3, 2024
✔ NPI 1083310999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in CA · 95024118
801 N TUSTIN AVE STE 507, Santa Ana, CA 92705
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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

Jaeson Pham Np 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 ID9537508346
PECOS Enrollment IDI20240412002026
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
41 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92705 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
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 4

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

JAMES A. KIM, M.D. A PROFESSIONAL MEDICAL CORPORATION
Clinic/Center (Pain)
801 N TUSTIN AVE STE 507
SANTA ANA, CA 92705
Orange County (949) 566-8688
DR. JAMES ANTHONY KIM M.D.
Anesthesiology (Pain Medicine)
801 N TUSTIN AVE STE 507
SANTA ANA, CA 92705
Orange County (949) 566-8688
ELIZABETH MAGLUYAN HARTWIG PA
Physician Assistant
801 N TUSTIN AVE STE 507
SANTA ANA, CA 92705
Orange County (949) 566-8688
JENNIFER PHAN
Physician Assistant
801 N TUSTIN AVE STE 507
SANTA ANA, CA 92705
Orange County (949) 566-8688

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 Jaeson Pham's NPI number?

The NPI number for Jaeson Pham is 1083310999. It was assigned to this individual provider in the NPPES registry on February 2, 2023.

Where is Jaeson Pham located?

Jaeson Pham practices at 801 N Tustin Ave Ste 507, Santa Ana, CA 92705. The listed phone number is (949) 566-8888.

What is Jaeson Pham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Jaeson Pham enrolled in Medicare?

Yes. Jaeson 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 Jaeson Pham was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.