LIEN TRAN PHAM M.D
NPI 1447293048
Family Medicine in San Bernardino, CA

Q: What is Lien Pham's NPI number?

The NPI number for Lien Pham is 1447293048. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Q: What is Lien Pham's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Lien Pham was last updated on July 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since June 13, 2006PECOS Enrolled

1717 E DATE PL, SAN BERNARDINO, CA 92404(888) 750-0036 Get Directions Write a Review

NPPES record last updated: July 17, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Lien Tran Pham M.d NPPES

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

LIEN TRAN PHAM M.D (NPI 1447293048) is an individual family medicine provider in San Bernardino, California, licensed in California (A53375) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447293048

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameLIEN TRAN PHAMCredential: M.D

Location Address1717 E DATE PLSan Bernardino, CA 92404-4428

Mailing Address1717 E Date PlSan Bernardino, CA 92404-4428 · (888) 750-0036

Phone(888) 750-0036

Sole ProprietorNo

Enumeration DateJune 13, 2006

Last NPPES UpdateJuly 17, 2007

✔ NPI 1447293048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A53375

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1717 E DATE PL, San Bernardino, CA 92404

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Other Identifiers 1

Medicare UPING04819CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lien Tran Pham M.d 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.

Medicare Billing Reassignment

Medicare enrollment records show Lien Pham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Department Of State Hospitals

49 mi

Psychiatric Hospital

11401 BLOOMFIELD AVE
Norwalk, CA 90650

Reassigned Medicare billing, California enrollment
755 clinicians in this Medicare group

NPI 1265406565 (562) 863-7011

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92404 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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 9

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

JACK NORMAN WINCHESTER PHARMBS

Pharmacist