MS. ANNETTE VAN ANH PHAM NP
NPI 1104923150
Nurse Practitioner - Acute Care in Sylmar, CA

Q: What is Annette Pham's NPI number?

The NPI number for Annette Pham is 1104923150. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Q: What is Annette Pham's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Annette Pham was last updated on July 12, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 20, 2006PECOS Enrolled

14445 OLIVE VIEW DR, ROOM 2B182, SYLMAR, CA 91342(818) 364-4568(818) 364-3625 Get Directions Write a Review

NPPES record last updated: July 12, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ms. Annette Van Anh Pham Np NPPES

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

MS. ANNETTE VAN ANH PHAM NP (NPI 1104923150) is an individual acute care provider in Sylmar, California, licensed in California (12756) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104923150

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMS. ANNETTE VAN ANH PHAMCredential: NP

Location Address14445 OLIVE VIEW DR, ROOM 2B182Sylmar, CA 91342-1437

Mailing Address14445 Olive View Dr, Room 2b182Sylmar, CA 91342-1437 · (818) 364-4569 · Fax (818) 364-3625

Phone(818) 364-4568

Fax(818) 364-3625

Sole ProprietorYes

Enumeration DateSeptember 20, 2006

Last NPPES UpdateJuly 12, 2007

✔ NPI 1104923150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in CA · 12756

Also ListedRegistered NurseTaxonomy 163W00000X · License 535887 (CA)

14445 OLIVE VIEW DR, Sylmar, CA 91342

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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 (PECOS)

Ms. Annette Van Anh Pham Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91342 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.

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