TAI MINH PHAM MD/MPH
NPI 1225568645
Pediatrics in Santa Rosa, CA

Q: What is Tai Pham's NPI number?

The NPI number for Tai Pham is 1225568645. It was assigned to this individual provider in the NPPES registry on June 18, 2017.

Q: What is Tai Pham's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Tai Pham was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since June 18, 2017PECOS Enrolled

3925 OLD REDWOOD HWY, SANTA ROSA, CA 95403(707) 657-9260 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 10, 2024, Jul 21, 2022, Aug 12, 2020 and 1 more (4 updates tracked since 2017).

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About Tai Minh Pham Md/mph NPPES

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

TAI MINH PHAM MD/MPH (NPI 1225568645) is an individual pediatrics provider in Santa Rosa, California, licensed in California (A157565) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225568645

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameTAI MINH PHAMCredential: MD/MPH

Location Address3925 OLD REDWOOD HWYSanta Rosa, CA 95403-1719

Mailing Address5526 Dupont DrSanta Rosa, CA 95409-3847 · (408) 991-5658

Phone(707) 657-9260

Sole ProprietorNo

Enumeration DateJune 18, 2017

Last NPPES UpdateOctober 10, 20244 updates tracked since enumeration

NPPES CertifiedOctober 10, 2024

✔ NPI 1225568645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A157565

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3925 OLD REDWOOD HWY, Santa Rosa, CA 95403

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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)

Tai Minh Pham Md/mph 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 95403 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

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$109.88 typical visit price

range $21.02 – $153.40

Typical copayment $27.47 (range $5.25 – $38.35)

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 20

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

LUCILLE HESTER BRONGERSMA O.D.

Optometrist

3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403

Sonoma County (707) 566-5297

CRISTINA PAPPAS SILVERBERG

Speech-Language Pathologist

3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403

Sonoma County (205) 247-2389

DR. JEFF MILLER MD

Pediatrics

3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403

Sonoma County (707) 566-5312

MS. GAIL PROSSER RD, CDE

Dietitian, Registered (Nutrition, Pediatric)

3925 OLD REDWOOD HWY, DEPT OF PEDIATRICS
SANTA ROSA, CA 95403

Sonoma County (707) 566-5358

DR. JANE H LEE-KOIDA O.D.

Optometrist

3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403

Sonoma County (707) 566-5342

DR. CHRISTINE W KU M.D.

Specialist

3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403

Sonoma County (707) 566-5452

MS. ANGELA BIZZARRI PFLUGRATH DO

Pediatrics

3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403

Sonoma County (707) 393-4033

ELIZABETH NGUYEN TRAN OD

Optometrist

3925 OLD REDWOOD HWY
SANTA ROSA, CA 95403

Sonoma County (707) 566-5974

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 Tai Pham's NPI number?

The NPI number for Tai Pham is 1225568645. It was assigned to this individual provider in the NPPES registry on June 18, 2017.

Where is Tai Pham located?

Tai Pham practices at 3925 Old Redwood Hwy, Santa Rosa, CA 95403. The listed phone number is (707) 657-9260.

What is Tai Pham's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Tai Pham enrolled in Medicare?

Yes. Tai Pham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tai Pham was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.