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ANGELA PHAM MD
NPI 1104562149
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since May 11, 2022PECOS EnrolledAccepts Medicare Assignment
9909 MIRA MESA BLVD STE 200, SAN DIEGO, CA 92131(800) 926-8273 Get Directions Write a Review

NPPES record last updated: May 11, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Angela Pham Md NPPES

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

ANGELA PHAM MD (NPI 1104562149) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1104562149
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameANGELA PHAMCredential: MD
Location Address9909 MIRA MESA BLVD STE 200San Diego, CA 92131-1061
Mailing Address9909 Mira Mesa Blvd Ste 200San Diego, CA 92131-1061 · (800) 926-8273
Phone(800) 926-8273
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 11, 2022
NPPES CertifiedMay 11, 2022
✔ NPI 1104562149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
9909 MIRA MESA BLVD STE 200, San Diego, CA 92131
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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 and accepts Medicare assignment

Angela Pham Md 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 ID6901392695
PECOS Enrollment IDI20251231004039
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 Angela Pham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sharp Rees-Stealy Medical Group, Inc
5.9 mi
Internal Medicine
5651 COPLEY DR STE A
San Diego, CA 92111
  • Reassigned Medicare billing, California enrollment
  • 1,233 clinicians in this Medicare group
NPI 1285616177 (858) 262-6666

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. ALLISON MICHELLE FLAIM DO
Family Medicine
9909 MIRA MESA BLVD STE 200
SAN DIEGO, CA 92131
San Diego County (800) 926-8273
DR. SARAH MERRILL MD
Family Medicine
9909 MIRA MESA BLVD STE 200
SAN DIEGO, CA 92131
San Diego County (858) 657-7750
AMELIA BAHAMONDE MD
Family Medicine
9909 MIRA MESA BLVD STE 200
SAN DIEGO, CA 92131
San Diego County (858) 657-7750
ELISABETH ANNE PLOTNER MD
Family Medicine
9909 MIRA MESA BLVD STE 200
SAN DIEGO, CA 92131
San Diego County (858) 675-7750
KEVIN ZHEN MD
Family Medicine
9909 MIRA MESA BLVD STE 200
SAN DIEGO, CA 92131
San Diego County (800) 926-8273
DR. WILLIAM COLE STAUFFER DO
Family Medicine
9909 MIRA MESA BLVD STE 200
SAN DIEGO, CA 92131
San Diego County (858) 657-7750
DR. ALEXANDRA GROSSMAN MOON MD, MSW
Student in an Organized Health Care Education/Training Program
9909 MIRA MESA BLVD STE 200
SAN DIEGO, CA 92131
San Diego County (858) 657-7750
DR. ZACHARY RYAN POPE MD
Family Medicine
9909 MIRA MESA BLVD STE 200
SAN DIEGO, CA 92131
San Diego County (800) 926-8273

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 Angela Pham's NPI number?

The NPI number for Angela Pham is 1104562149. It was assigned to this individual provider in the NPPES registry on May 11, 2022.

Where is Angela Pham located?

Angela Pham practices at 9909 Mira Mesa Blvd Ste 200, San Diego, CA 92131. The listed phone number is (800) 926-8273.

What is Angela Pham's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Angela Pham enrolled in Medicare?

Yes. Angela 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.

Which organization bills Medicare for Angela Pham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angela Pham reassigns Medicare benefits to Sharp Rees-Stealy Medical Group, Inc (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 Angela 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 Angela Pham was last updated on May 11, 2022. 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.