1. Home
  2. Directory
  3. California
  4. San Diego
  5. Physician Assistant
  6. NPI Profile

JENNIFER PHAM P.A
NPI 1396993713
Physician Assistant - Medical in San Diego, CA

Active since August 28, 2008PECOS EnrolledAccepts Medicare Assignment
3900 FIFTH AVE STE 110, SAN DIEGO, CA 92103(858) 554-1212 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2023, Jun 10, 2023, Apr 19, 2021 and 1 more (4 updates tracked since 2019).

About Jennifer Pham P.a NPPES

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

JENNIFER PHAM P.A (NPI 1396993713) is an individual medical provider in San Diego, California, licensed in California (20411) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1396993713
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJENNIFER PHAMCredential: P.A
Location Address3900 FIFTH AVE STE 110San Diego, CA 92103-3122
Mailing Address3900 Fifth Ave Ste 110San Diego, CA 92103-3122 · (858) 554-1212
Phone(858) 554-1212
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 28, 2008
Last NPPES UpdateJune 12, 20234 updates tracked since enumeration
NPPES CertifiedJune 12, 2023
✔ NPI 1396993713 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 · 20411
3900 FIFTH AVE STE 110, San Diego, CA 92103
Open in Google Maps ↗

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

Jennifer Pham P.a 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 ID9638310022
PECOS Enrollment IDI20190418000098
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 2

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
39 services38 patients
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.
38 services31 patients

Other Providers at the Same Location NPPES 11

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

STEPHANIE KIRWIN
Physician Assistant
3900 FIFTH AVE STE 110
SAN DIEGO, CA 92103
San Diego County (858) 554-1212
BROOKE BARREIRE
Family Medicine
3900 FIFTH AVE STE 110
SAN DIEGO, CA 92103
San Diego County (858) 554-1212
SHELBY GREENELSH PA-C
Physician Assistant
3900 FIFTH AVE STE 110
SAN DIEGO, CA 92103
San Diego County (805) 238-7250
FAITH SALINA ROSE ROBICHAUD PA-C
Family Medicine
3900 FIFTH AVE STE 110
SAN DIEGO, CA 92103
San Diego County (858) 554-1212
MEAGAN PETREK A.P.R.N.
Nurse Practitioner
3900 FIFTH AVE STE 110
SAN DIEGO, CA 92103
San Diego County (858) 554-1212
SAMANTHA JO MCPHERSON NURSE PRACTITIONER
Nurse Practitioner
3900 FIFTH AVE STE 110
SAN DIEGO, CA 92103
San Diego County (858) 544-1212
ISABELLA RANDHAWA MUSTO PA
Physician Assistant
3900 FIFTH AVE STE 110
SAN DIEGO, CA 92103
San Diego County (858) 554-1212
VALERIE ROSE DRIVICK RDN
Dietitian, Registered
3900 FIFTH AVE STE 110
SAN DIEGO, CA 92103
San Diego County (858) 250-0286

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 Jennifer Pham's NPI number?

The NPI number for Jennifer Pham is 1396993713. It was assigned to this individual provider in the NPPES registry on August 28, 2008.

Where is Jennifer Pham located?

Jennifer Pham practices at 3900 Fifth Ave Ste 110, San Diego, CA 92103. The listed phone number is (858) 554-1212.

What is Jennifer Pham's specialty?

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

Is Jennifer Pham enrolled in Medicare?

Yes. Jennifer 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 Jennifer Pham was last updated on June 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.