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TIMOTHY PHAM D.P.M.
NPI 1407871015
Podiatrist - Foot & Ankle Surgery in San Jose, CA

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment
1879 LUNDY AVE # 122, SAN JOSE, CA 95131(408) 433-3930(408) 433-3931 Get Directions Write a Review

NPPES record last updated: December 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy Pham D.p.m. NPPES

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

TIMOTHY PHAM D.P.M. (NPI 1407871015) is an individual foot & ankle surgery provider in San Jose, California, licensed in California (000E39370) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of California School Of Podiatric Medicine (1993).

NPPES Registry Identity

NPI1407871015
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameTIMOTHY PHAMCredential: D.P.M.
Location Address1879 LUNDY AVE # 122San Jose, CA 95131-1834
Mailing Address1879 Lundy Ave # 122San Jose, CA 95131-1834 · (408) 433-3930 · Fax (408) 433-3931
Phone(408) 433-3930
Fax(408) 433-3931
Sole ProprietorYes
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 1993
Enumeration DateJuly 13, 2006
Last NPPES UpdateDecember 8, 2007
✔ NPI 1407871015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in CA · 000E39370
1879 LUNDY AVE # 122, San Jose, CA 95131
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Other Identifiers 4

Medicare UPINU89950CA
Medicare NSC5735050001CA
Medicare PIN000E39371CA
Medicaid000E39370CA

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

Timothy Pham D.p.m. 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 ID7810900396
PECOS Enrollment IDI20060731000136
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 4

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.
339 services110 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.
86 services86 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.
58 services55 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
32 services32 patients

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 Timothy Pham's NPI number?

The NPI number for Timothy Pham is 1407871015. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Timothy Pham located?

Timothy Pham practices at 1879 Lundy Ave # 122, San Jose, CA 95131. The listed phone number is (408) 433-3930.

What is Timothy Pham's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Timothy Pham enrolled in Medicare?

Yes. Timothy 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 Timothy Pham was last updated on December 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.