DIANE PHAM
NPI 1194525493
Student in an Organized Health Care Education/Training Program in Moreno Valley, CA

Active since March 17, 2025
12810 HEACOCK ST STE B202, MORENO VALLEY, CA 92553(951) 247-6542 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Diane Pham NPPES

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

DIANE PHAM (NPI 1194525493) is an individual student in an organized health care education/training program in Moreno Valley, California and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1194525493
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDIANE PHAM
Location Address12810 HEACOCK ST STE B202Moreno Valley, CA 92553-2873
Mailing Address9800 Newville AveDowney, CA 90240-3530
Sole ProprietorNo
Enumeration DateMarch 17, 2025
Last NPPES UpdateJune 18, 2026
NPPES CertifiedJune 18, 2026
NPI 1194525493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
12810 HEACOCK ST STE B202, Moreno Valley, CA 92553

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.

Student in an Organized Health Care Education/Training Program
12810 HEACOCK ST STE B202
MORENO VALLEY, CA 92553
Student in an Organized Health Care Education/Training Program
12810 HEACOCK ST STE B202
MORENO VALLEY, CA 92553
Marriage & Family Therapist
12810 HEACOCK ST STE B202
MORENO VALLEY, CA 92553
Student in an Organized Health Care Education/Training Program
12810 HEACOCK ST STE B202
MORENO VALLEY, CA 92553
Marriage & Family Therapist
12810 HEACOCK ST STE B202
MORENO VALLEY, CA 92553
Marriage & Family Therapist
12810 HEACOCK ST STE B202
MORENO VALLEY, CA 92553
Student in an Organized Health Care Education/Training Program
12810 HEACOCK ST STE B202
MORENO VALLEY, CA 92553
Student in an Organized Health Care Education/Training Program
12810 HEACOCK ST STE B202
MORENO VALLEY, CA 92553

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 Diane Pham's NPI number?

The NPI number for Diane Pham is 1194525493. It was assigned to this individual provider in the NPPES registry on March 17, 2025.

Where is Diane Pham located?

Diane Pham practices at 12810 Heacock St Ste B202, Moreno Valley, CA 92553. The listed phone number is (951) 247-6542.

What is Diane Pham's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Diane Pham was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 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.