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NINA NGUYEN PHAM
NPI 1417699869
Nurse Practitioner in San Diego, CA

Active since April 07, 2022PECOS Enrolled
10737 CAMINO RUIZ STE 235, SAN DIEGO, CA 92126(844) 200-2426 Get Directions Write a Review

NPPES record last updated: October 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 20, 2023, Apr 27, 2022, Apr 7, 2022 (3 updates tracked since 2022).

About Nina Nguyen Pham NPPES

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

NINA NGUYEN PHAM (NPI 1417699869) is an individual nurse practitioner in San Diego, California, licensed in California (95020179) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417699869
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNINA NGUYEN PHAM
Location Address10737 CAMINO RUIZ STE 235San Diego, CA 92126-2375
Mailing Address135 S State College Blvd Ste 350Brea, CA 92821-5814 · (057) 193-7008 · Fax (805) 413-9099
Phone(844) 200-2426
Sole ProprietorNo
Enumeration DateApril 7, 2022
Last NPPES UpdateOctober 20, 20233 updates tracked since enumeration
NPPES CertifiedOctober 20, 2023
✔ NPI 1417699869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95020179
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 95020179 (CA)
10737 CAMINO RUIZ STE 235, San Diego, CA 92126
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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)

Nina Nguyen Pham is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92126 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

VIVIANNE JAKOBS RN,MSN,IBCLC, FNP
Nurse Practitioner (Family)
10737 CAMINO RUIZ STE 235
SAN DIEGO, CA 92126
San Diego County (844) 200-2426
DR. SUZANNA KREEMER WONG DC
Chiropractor
10737 CAMINO RUIZ STE 235
SAN DIEGO, CA 92126
San Diego County (844) 200-2426
MYESHA POLAND
Family Medicine
10737 CAMINO RUIZ STE 235
SAN DIEGO, CA 92126
San Diego County (844) 200-2426
KYLENE ALAIA CORPUS RD
Dietitian, Registered
10737 CAMINO RUIZ STE 235
SAN DIEGO, CA 92126
San Diego County (209) 683-5640
ANNA MARIE HEFNER NP
Nurse Practitioner
10737 CAMINO RUIZ STE 235
SAN DIEGO, CA 92126
San Diego County (844) 200-2426
MICHELLE MONIQUE LORIA
Nurse Practitioner (Family)
10737 CAMINO RUIZ STE 235
SAN DIEGO, CA 92126
San Diego County (844) 200-2426

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 Nina Pham's NPI number?

The NPI number for Nina Pham is 1417699869. It was assigned to this individual provider in the NPPES registry on April 7, 2022.

Where is Nina Pham located?

Nina Pham practices at 10737 Camino Ruiz Ste 235, San Diego, CA 92126. The listed phone number is (844) 200-2426.

What is Nina Pham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nina Pham enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nina Pham was last updated on October 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.