THONG PHAM
NPI 1194318436
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA
About Thong Pham NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THONG PHAM (NPI 1194318436) is an individual psychiatric/mental health provider in San Diego, California, licensed in California (95030195) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Thong Pham 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.
Medicare Billing Reassignments
2Medicare enrollment records show Thong Pham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Diego, CA 92131
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Carbon Medical Center
- 24 clinicians in this Medicare group
San Diego, CA 92131
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Datnguyen, M.D., Inc.
- 42 clinicians in this Medicare group
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 92131 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92131
SAN DIEGO, CA 92131
SAN DIEGO, CA 92131
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 Thong Pham's NPI number?
The NPI number for Thong Pham is 1194318436. It was assigned to this individual provider in the NPPES registry on February 18, 2021.
Where is Thong Pham located?
Thong Pham practices at 9855 Erma Rd Ste 133, San Diego, CA 92131. The listed phone number is (858) 343-4572.
What is Thong Pham's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Thong Pham enrolled in Medicare?
Yes. Thong 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 organizations bill Medicare for Thong Pham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thong Pham reassigns Medicare benefits to 2 organizations: Carbon Medical Center Multispecialty Group Inc (San Diego, CA) and Datnguyen MD Inc (San Diego, CA). Each 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 Thong 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 Thong Pham was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Thong Pham · NPI 1194318436
Psychiatric/Mental Health physician in San Diego, California. Individual provider, active in the CMS NPPES registry since February 18, 2021.
## Identity
- **NPI:** 1194318436 (Entity type: Individual)
- **Enumerated:** February 18, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95030195 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 9855 ERMA RD STE 133, San Diego, CA 92131-1092
- **Phone:** (858) 343-4572
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Carbon Medical Center Multispecialty Group Inc (NPI 1609678226, San Diego, CA); Datnguyen MD Inc (NPI 1215977723, San Diego, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** March 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1194318436) · Data from the CMS NPPES public registry.