JENNIFER TRINH PHAM
NPI 1083497754
Family Medicine in San Diego, CA
About Jennifer Trinh Pham NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER TRINH PHAM (NPI 1083497754) is an individual family medicine provider in San Diego, California, licensed in California (PA65834) 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
Specialties & Licenses
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
Jennifer Trinh 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92128 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 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92128
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 Jennifer Pham's NPI number?
The NPI number for Jennifer Pham is 1083497754. It was assigned to this individual provider in the NPPES registry on August 16, 2023.
Where is Jennifer Pham located?
Jennifer Pham practices at 11865 Carmel Mountain Rd Ste 1104, San Diego, CA 92128. The listed phone number is (858) 554-1212.
What is Jennifer Pham's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jennifer Pham enrolled in Medicare?
Yes. Jennifer 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 Jennifer Pham was last updated on May 15, 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.
# Jennifer Trinh Pham · NPI 1083497754
Family Medicine physician in San Diego, California. Individual provider, active in the CMS NPPES registry since August 16, 2023.
## Identity
- **NPI:** 1083497754 (Entity type: Individual)
- **Enumerated:** August 16, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** PA65834 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11865 CARMEL MOUNTAIN RD STE 1104, San Diego, CA 92128-4610
- **Phone:** (858) 554-1212
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** May 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1083497754) · Data from the CMS NPPES public registry.