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THY MINH PHAM RDN
NPI 1265327860
Dietitian, Registered in Victorville, CA

Active since June 12, 2025
12640 HESPERIA RD STE D, VICTORVILLE, CA 92395(760) 684-4143(760) 684-8111 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 6, 2026, Jun 12, 2025 (2 updates tracked since 2025).

About Thy Minh Pham Rdn NPPES

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

THY MINH PHAM RDN (NPI 1265327860) is an individual dietitian, registered in Victorville, California, licensed in California (86325028) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1265327860
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameTHY MINH PHAMCredential: RDN
Location Address12640 HESPERIA RD STE DVictorville, CA 92395-7753
Mailing Address12640 Hesperia Rd Ste DVictorville, CA 92395-7753 · (760) 684-4143 · Fax (760) 684-8111
Phone(760) 684-4143
Fax(760) 684-8111
Sole ProprietorNo
Enumeration DateJune 12, 2025
Last NPPES UpdateApril 6, 20262 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
✔ NPI 1265327860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in CA · 86325028
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
12640 HESPERIA RD STE D, Victorville, CA 92395
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Billing Reassignment

Medicare enrollment records show Thy Pham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tobias Moeller-Bertram MD Corporation
70 mi
Pain Medicine
36101 BOB HOPE DR STE A
Rancho Mirage, CA 92270
  • Reassigned Medicare billing, California enrollment
  • 75 clinicians in this Medicare group
NPI 1922440684 (760) 321-1315

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

KIA NICHELLE
Marriage & Family Therapist
12640 HESPERIA RD STE D
VICTORVILLE, CA 92395
San Bernardino County (760) 684-4143
VICKIE R ALEXANDER FNP-BC
Nurse Practitioner (Family)
12640 HESPERIA RD STE D
VICTORVILLE, CA 92395
San Bernardino County (760) 684-8999
EMILY TRUONG DC
Chiropractor
12640 HESPERIA RD STE D
VICTORVILLE, CA 92395
San Bernardino County (760) 684-4143
CLAUDIA VILLIERME M.ED., M.F.T.
Marriage & Family Therapist
12640 HESPERIA RD STE D
VICTORVILLE, CA 92395
San Bernardino County (760) 684-4143
DR. JAE SEOG PARK
Acupuncturist
12640 HESPERIA RD STE D
VICTORVILLE, CA 92395
San Bernardino County (760) 684-4143
LEXIE LUKER DC
Chiropractor
12640 HESPERIA RD STE D
VICTORVILLE, CA 92395
San Bernardino County (760) 684-4143
TOBIAS MOELLER-BERTRAM MD CORPORATION
Durable Medical Equipment & Medical Supplies
12640 HESPERIA RD STE D
VICTORVILLE, CA 92395
San Bernardino County (760) 684-4143
DR. ELLA Y CHUNG ACUPUNCTURIST
Acupuncturist
12640 HESPERIA RD STE D
VICTORVILLE, CA 92395
San Bernardino County (760) 684-4143

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 Thy Pham's NPI number?

The NPI number for Thy Pham is 1265327860. It was assigned to this individual provider in the NPPES registry on June 12, 2025.

Where is Thy Pham located?

Thy Pham practices at 12640 Hesperia Rd Ste D, Victorville, CA 92395. The listed phone number is (760) 684-4143.

What is Thy Pham's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Thy Pham enrolled in Medicare?

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

Which organization bills Medicare for Thy Pham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thy Pham reassigns Medicare benefits to Tobias Moeller-Bertram MD Corporation (Rancho Mirage, CA). The 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 Thy 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 Thy Pham was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.