DR. JOHN PHAM D.P.M.
NPI 1104929140
Podiatrist - Foot Surgery in Loma Linda, CA
About Dr. John Pham D.p.m. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN PHAM D.P.M. (NPI 1104929140) is an individual foot surgery provider in Loma Linda, California, licensed in California (E4417) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. John Pham D.p.m. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
LOMA LINDA, CA 92357
LOMA LINDA, CA 92357
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 John Pham's NPI number?
The NPI number for John Pham is 1104929140. It was assigned to this individual provider in the NPPES registry on September 6, 2006.
Where is John Pham located?
John Pham practices at 11201 Benton St, Loma Linda, CA 92357. The listed phone number is (909) 825-7084.
What is John Pham's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.
Is John Pham enrolled in Medicare?
Yes. John Pham is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for John Pham was last updated on November 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Dr. John Pham, D.P.M. · NPI 1104929140
Foot Surgery provider in Loma Linda, California. Individual provider, active in the CMS NPPES registry since September 6, 2006.
## Identity
- **NPI:** 1104929140 (Entity type: Individual)
- **Enumerated:** September 6, 2006
- **Primary specialty:** Podiatrist - Foot Surgery · taxonomy 213ES0131X
- **State license:** E4417 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11201 BENTON ST, Loma Linda, CA 92357-1000
- **Phone:** (909) 825-7084
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment
## Record status
- **NPPES last updated:** November 30, 2010
- **Other identifiers:** Medicare ID-Type Unspecified E4417 (CA); Medicare UPIN U0911 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1104929140) · Data from the CMS NPPES public registry.