SHALLY LE PHAM OTD
NPI 1487593026
Occupational Therapist in San Diego, CA

Active since March 27, 2026
3420 COLLEGE AVE, SAN DIEGO, CA 92115(619) 515-2445 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 31, 2026, Mar 27, 2026 (2 updates tracked since 2026).

About Shally Le Pham Otd NPPES

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

SHALLY LE PHAM OTD (NPI 1487593026) is an individual occupational therapist in San Diego, California, licensed in California (28577) and active in the NPI registry since March 2026. She is a graduate of Other (2022).

NPPES Registry Identity

NPI1487593026
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameSHALLY LE PHAMCredential: OTD
Location Address3420 COLLEGE AVESan Diego, CA 92115-7134
Mailing Address4463 Mentone St Apt 2San Diego, CA 92107-1019 · (757) 401-3563
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 27, 2026
Last NPPES UpdateMarch 31, 20262 updates tracked since enumeration
NPPES CertifiedMarch 31, 2026
NPI 1487593026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in CA · 28577
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
3420 COLLEGE AVE, San Diego, CA 92115

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shally Le Pham Otd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274009592
PECOS Enrollment IDI20260415001511

Other Providers at the Same Location NPPES 8

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

Clinic/Center (Federally Qualified Health Center (FQHC))
3420 COLLEGE AVE
SAN DIEGO, CA 92115
Occupational Therapist
3420 COLLEGE AVE
SAN DIEGO, CA 92115
Dietitian, Registered
3420 COLLEGE AVE
SAN DIEGO, CA 92115
Pharmacist
3420 COLLEGE AVE
SAN DIEGO, CA 92115
Physical Therapist
3420 COLLEGE AVE
SAN DIEGO, CA 92115
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
3420 COLLEGE AVE
SAN DIEGO, CA 92115
Internal Medicine
3420 COLLEGE AVE
SAN DIEGO, CA 92115
Internal Medicine (Geriatric Medicine)
3420 COLLEGE AVE
SAN DIEGO, CA 92115

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 Shally Pham's NPI number?

The NPI number for Shally Pham is 1487593026. It was assigned to this individual provider in the NPPES registry on March 27, 2026.

Where is Shally Pham located?

Shally Pham practices at 3420 College Ave, San Diego, CA 92115. The listed phone number is (619) 515-2445.

What is Shally Pham's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Shally Pham enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Shally Pham was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.