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MR. JOHNNY-AN THANH PHAM PA C
NPI 1457332504
Physician Assistant in Los Angeles, CA

Active since November 07, 2005PECOS Enrolled
1101 N VERMONT AVE, LOS ANGELES, CA 90029(323) 665-4230(818) 665-8718 Get Directions Write a Review

NPPES record last updated: February 5, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Johnny-an Thanh Pham Pa C NPPES

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

MR. JOHNNY-AN THANH PHAM PA C (NPI 1457332504) is an individual physician assistant in Los Angeles, California, licensed in California (PA13536) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457332504
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JOHNNY-AN THANH PHAMCredential: PA C
Location Address1101 N VERMONT AVELos Angeles, CA 90029
Mailing Address5443 E Lanai StreetLong Beach, CA 90808 · (310) 503-1602
Phone(323) 665-4230
Fax(818) 665-8718
Sole ProprietorNo
Enumeration DateNovember 7, 2005
Last NPPES UpdateFebruary 5, 2013
✔ NPI 1457332504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA13536
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1101 N VERMONT AVE, Los Angeles, CA 90029
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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)

Mr. Johnny-an Thanh Pham Pa C 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 90029 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers14 claims26 services$3.29 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers11 claims12 services$0.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

RONY E MEDINA PA-C
Physician Assistant (Medical)
1101 N VERMONT AVE
LOS ANGELES, CA 90029
Los Angeles County (323) 665-4230
MAHFOUZ M. MICHAEL,M.D.,INC
Internal Medicine
1101 N VERMONT AVE
LOS ANGELES, CA 90029
Los Angeles County (323) 665-4230
MANSOUR BENLEVY MD
Internal Medicine
1101 N VERMONT AVE
LOS ANGELES, CA 90029
Los Angeles County (323) 665-4230

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 Johnny-an Pham's NPI number?

The NPI number for Johnny-an Pham is 1457332504. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Where is Johnny-an Pham located?

Johnny-an Pham practices at 1101 N Vermont Ave, Los Angeles, CA 90029. The listed phone number is (323) 665-4230.

What is Johnny-an Pham's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Johnny-an Pham enrolled in Medicare?

Yes. Johnny-an Pham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Johnny-an Pham was last updated on February 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.