Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

TIM PHAM
NPI 1104738392
Massage Therapist in Modesto, CA

Q: What is Tim Pham's NPI number?

The NPI number for Tim Pham is 1104738392. It was assigned to this individual provider in the NPPES registry on September 21, 2026.

Q: What is Tim Pham's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Q: When was this NPI record last updated?

The NPPES record for Tim Pham was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.

Active since September 21, 2026

4200 SEMALLON DR, MODESTO, CA 95356(209) 681-5813 Get Directions Write a Review

NPPES record added: September 21, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Tim Pham NPPES

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

TIM PHAM (NPI 1104738392) is an individual massage therapist in Modesto, California, licensed in California (103577) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1104738392

Entity TypeIndividualMale

Primary Taxonomy225700000X

Provider Legal NameTIM PHAM

Location Address4200 SEMALLON DRModesto, CA 95356-1142

Mailing Address4200 Semallon DrModesto, CA 95356-1142 · (209) 681-5813

Phone(209) 681-5813

Sole ProprietorYes

Enumeration DateSeptember 21, 2026

NPPES CertifiedSeptember 21, 2026

✔ NPI 1104738392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in CA · 103577

Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

4200 SEMALLON DR, Modesto, CA 95356

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Tim Pham's NPI number?

The NPI number for Tim Pham is 1104738392. It was assigned to this individual provider in the NPPES registry on September 21, 2026.

Where is Tim Pham located?

Tim Pham practices at 4200 Semallon Dr, Modesto, CA 95356. The listed phone number is (209) 681-5813.

What is Tim Pham's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Tim Pham was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.