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RYAN DUY PHAM
NPI 1245705086
Physician Assistant in Newport Beach, CA

Active since October 08, 2018PECOS EnrolledAccepts Medicare Assignment
2075 SAN JOAQUIN HILLS RD, NEWPORT BEACH, CA 92660(949) 760-9222(949) 579-2906 Get Directions Write a Review

NPPES record last updated: October 15, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 15, 2019, Oct 8, 2018 (2 updates tracked since 2018).

About Ryan Duy Pham NPPES

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

RYAN DUY PHAM (NPI 1245705086) is an individual physician assistant in Newport Beach, California, licensed in California (56054) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fountain Valley, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1245705086
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRYAN DUY PHAM
Location Address2075 SAN JOAQUIN HILLS RDNewport Beach, CA 92660-6505
Mailing Address11744 Summerwood CtFountain Valley, CA 92708-2668 · (714) 401-8579
Phone(949) 760-9222
Fax(949) 579-2906
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 8, 2018
Last NPPES UpdateOctober 15, 20192 updates tracked since enumeration
✔ NPI 1245705086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 56054
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2075 SAN JOAQUIN HILLS RD, Newport Beach, CA 92660
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Secondary Practice Location 1

Location 111744 Summerwood CtFountain Valley, CA 92708-2668 · Phone (714) 401-8579

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ryan Duy 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.

PECOS PAC ID5799013660
PECOS Enrollment IDI20190830000742
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 92660 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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 14

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

ELIZABETH KOPRUCKI
Physician Assistant
2075 SAN JOAQUIN HILLS RD
NEWPORT BEACH, CA 92660
Orange County (651) 373-6604
CHELSEE JEANINE BRUBAKER
Physician Assistant
2075 SAN JOAQUIN HILLS RD
NEWPORT BEACH, CA 92660
Orange County (776) 936-2668
HOCHONG BANG
Family Medicine
2075 SAN JOAQUIN HILLS RD
NEWPORT BEACH, CA 92660
Orange County (949) 760-9222
BRIAN JEFFRY JACKSON NP
Nurse Practitioner (Family)
2075 SAN JOAQUIN HILLS RD
NEWPORT BEACH, CA 92660
Orange County (949) 760-9222
DR. NATHAN ARON KISKILA M.D.
Family Medicine
2075 SAN JOAQUIN HILLS RD
NEWPORT BEACH, CA 92660
Orange County (949) 760-9222
DR. ALISON F SIMS M.D.
Internal Medicine
2075 SAN JOAQUIN HILLS RD
NEWPORT BEACH, CA 92660
Orange County (949) 760-9222
DR. COLLEEN A KRAFT MD
Pediatrics
2075 SAN JOAQUIN HILLS RD
NEWPORT BEACH, CA 92660
Orange County (949) 760-9222
MARQUE MEDICAL CLINIC, INC.
Clinic/Center (Urgent Care)
2075 SAN JOAQUIN HILLS RD
NEWPORT BEACH, CA 92660
Orange County (949) 760-9222

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 Ryan Pham's NPI number?

The NPI number for Ryan Pham is 1245705086. It was assigned to this individual provider in the NPPES registry on October 8, 2018.

Where is Ryan Pham located?

Ryan Pham practices at 2075 San Joaquin Hills Rd, Newport Beach, CA 92660. The listed phone number is (949) 760-9222.

What is Ryan Pham's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ryan Pham enrolled in Medicare?

Yes. Ryan 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.

When was this NPI record last updated?

The NPPES record for Ryan Pham was last updated on October 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.