THANH TRUNG PHAM
NPI 1285247049
Physician Assistant - Medical in San Bernardino, CA

Active since August 30, 2020PECOS EnrolledAccepts Medicare Assignment
590 N SIERRA WAY, SAN BERNARDINO, CA 92410(909) 495-3595(909) 763-2544 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 16, 2022, Aug 30, 2020 (2 updates tracked since 2020).

About Thanh Trung Pham NPPES

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

THANH TRUNG PHAM (NPI 1285247049) is an individual medical provider in San Bernardino, California, licensed in California (PA59381) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1285247049
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameTHANH TRUNG PHAM
Location Address590 N SIERRA WAYSan Bernardino, CA 92410-4817
Mailing Address590 N Sierra WaySan Bernardino, CA 92410-4817 · (909) 495-3595
Fax(909) 763-2544
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 30, 2020
Last NPPES UpdateAugust 16, 20222 updates tracked since enumeration
NPPES CertifiedAugust 16, 2022
NPI 1285247049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · PA59381
590 N SIERRA WAY, San Bernardino, CA 92410

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

Thanh Trung 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 ID7113361700
PECOS Enrollment IDI20240222002033
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
115 services109 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
82 services82 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
50 services14 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
34 services17 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
32 services32 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
29 services25 patients

Other Providers at the Same Location NPPES 6

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

Physical Medicine & Rehabilitation
590 N SIERRA WAY
SAN BERNARDINO, CA 92410
Pharmacy
590 N SIERRA WAY
SAN BERNARDINO, CA 92410
Community Health Worker
590 N SIERRA WAY
SAN BERNARDINO, CA 92410
Clinic/Center (Primary Care)
590 N SIERRA WAY
SAN BERNARDINO, CA 92410
Specialist
590 N SIERRA WAY
SAN BERNARDINO, CA 92410
Health Maintenance Organization
590 N SIERRA WAY
SAN BERNARDINO, CA 92410

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 Thanh Pham's NPI number?

The NPI number for Thanh Pham is 1285247049. It was assigned to this individual provider in the NPPES registry on August 30, 2020.

Where is Thanh Pham located?

Thanh Pham practices at 590 N Sierra Way, San Bernardino, CA 92410. The listed phone number is (909) 495-3595.

What is Thanh Pham's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Thanh Pham enrolled in Medicare?

Yes. Thanh 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 Thanh Pham was last updated on August 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.