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

Q: 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.

Q: What is Thy Pham's specialty?

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

Q: 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 4 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 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: August 02, 2026.

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

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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. She is a graduate of Other (2024).

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

Medical School CMSOtherGraduated 2024

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID1658873237

PECOS Enrollment IDI20250903004289

Other Providers at the Same Location NPPES 15

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

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