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VICTORIA PHAM M.D.
NPI 1104184548
Pediatrics in San Diego, CA

Active since April 23, 2012PECOS Enrolled
10992 SAN DIEGO MISSION RD, PEDIATRICS ADMINISTRATION, 3RD FLOOR, SAN DIEGO, CA 92108(619) 542-7210 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Victoria Pham M.d. NPPES

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

VICTORIA PHAM M.D. (NPI 1104184548) is an individual pediatrics provider in San Diego, California, licensed in California (A130190) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104184548
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameVICTORIA PHAMCredential: M.D.
Location Address10992 SAN DIEGO MISSION RD, PEDIATRICS ADMINISTRATION, 3RD FLOORSan Diego, CA 92108-2444
Mailing Address10992 San Diego Mission Rd, Pediatrics Administration, 3rd FloorSan Diego, CA 92108-2444
Phone(619) 542-7210
Sole ProprietorNo
Enumeration DateApril 23, 2012
Last NPPES UpdateDecember 6, 2021
✔ NPI 1104184548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A130190
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
10992 SAN DIEGO MISSION RD, San Diego, CA 92108
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Victoria Pham M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Billing Reassignment

Medicare enrollment records show Victoria Pham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
0.6 mi
Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1225060742 (619) 528-5000

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 92108 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
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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 20

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

MR. MITCH ZELDIN O.T.R.-L
Occupational Therapist
10992 SAN DIEGO MISSION RD
SAN DIEGO, CA 92108
San Diego County (619) 641-4621
RUTH DAHL LCSW
Social Worker
10992 SAN DIEGO MISSION RD
SAN DIEGO, CA 92108
San Diego County (760) 570-5323
MS. KATHY PARKS LCSW
Social Worker (Clinical)
10992 SAN DIEGO MISSION RD
SAN DIEGO, CA 92108
San Diego County (619) 641-4510
ABBEY ANN RICCHIUTO- CORPUZ RD
Dietitian, Registered
10992 SAN DIEGO MISSION RD
SAN DIEGO, CA 92108
San Diego County (619) 641-2000
MR. WILLIAM DANIEL MYERS R.P.T.
Physical Therapist
10992 SAN DIEGO MISSION RD
SAN DIEGO, CA 92108
San Diego County (619) 641-4663
IRENE FOJTIK OTRL
Occupational Therapist
10992 SAN DIEGO MISSION RD
SAN DIEGO, CA 92108
San Diego County (619) 641-4381
MS. LORE RAE YOUNG MA, CCC,#4746
Speech-Language Pathologist
10992 SAN DIEGO MISSION RD
SAN DIEGO, CA 92108
San Diego County (619) 461-4663
NANCY WEILER LCSW
Social Worker (Clinical)
10992 SAN DIEGO MISSION RD
SAN DIEGO, CA 92108
San Diego County (619) 641-4619

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 Victoria Pham's NPI number?

The NPI number for Victoria Pham is 1104184548. It was assigned to this individual provider in the NPPES registry on April 23, 2012.

Where is Victoria Pham located?

Victoria Pham practices at 10992 San Diego Mission Rd Pediatrics Administration, 3rd Floor, San Diego, CA 92108. The listed phone number is (619) 542-7210.

What is Victoria Pham's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Victoria Pham enrolled in Medicare?

Yes. Victoria Pham is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Victoria Pham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Victoria Pham reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). The 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 Victoria Pham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Victoria Pham was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.