THONG PHAM
NPI 1194318436
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA

Active since February 18, 2021PECOS Enrolled
9855 ERMA RD STE 133, SAN DIEGO, CA 92131(858) 343-4572 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 12, 2026, Jan 9, 2026, Feb 16, 2023 and 1 more (4 updates tracked since 2021).

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

NPI1194318436
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameTHONG PHAM
Location Address9855 ERMA RD STE 133San Diego, CA 92131-1092
Mailing Address9855 Erma Rd Ste 133San Diego, CA 92131-1092
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 18, 2021
Last NPPES UpdateMarch 12, 20264 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
NPI 1194318436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in CA · 95030195
Also ListedRegistered NurseTaxonomy 163W00000X · License 95244483 (CA)
9855 ERMA RD STE 133, San Diego, CA 92131

Secondary Practice Location 1

Location 13853 Rosecrans StSan Diego, CA 92110-3115 · Phone (619) 692-8200

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Thong Pham is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527564368
PECOS Enrollment IDI20251001001571
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 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.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
9855 ERMA RD STE 133
SAN DIEGO, CA 92131
Internal Medicine
9855 ERMA RD STE 133
SAN DIEGO, CA 92131
Nurse Practitioner (Psychiatric/Mental Health)
9855 ERMA RD STE 133
SAN DIEGO, CA 92131
Nurse Practitioner (Psychiatric/Mental Health)
9855 ERMA RD STE 133
SAN DIEGO, CA 92131
Psychiatry & Neurology (Psychiatry)
9855 ERMA RD STE 133
SAN DIEGO, CA 92131
Nurse Practitioner (Psychiatric/Mental Health)
9855 ERMA RD STE 133
SAN DIEGO, CA 92131
Internal Medicine
9855 ERMA RD STE 133
SAN DIEGO, CA 92131
Nurse Practitioner (Psychiatric/Mental Health)
9855 ERMA RD STE 133
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 enrollment system.

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 5 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.