VIVIAN PHAM M.D.
NPI 1497109680
Anesthesiology - Pain Medicine in Sacramento, CA

Q: What is Vivian Pham's NPI number?

The NPI number for Vivian Pham is 1497109680. It was assigned to this individual provider in the NPPES registry on April 14, 2016.

Q: What is Vivian Pham's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Q: When was this NPI record last updated?

The NPPES record for Vivian Pham was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 April 14, 2016PECOS EnrolledAccepts Medicare Assignment

4860 Y ST STE 3020, SACRAMENTO, CA 95817(916) 734-6824 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 20, 2021, Sep 3, 2020, Jul 1, 2020 (3 updates tracked since 2020).

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About Vivian Pham M.d. NPPES

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

VIVIAN PHAM M.D. (NPI 1497109680) is an individual pain medicine provider in Sacramento, California, licensed in California (A154042) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Oakland, and is a graduate of University Of Southern California Keck School Of Medicine (2016).

NPPES Registry Identity

NPI1497109680

Entity TypeIndividualFemale

Primary Taxonomy207LP2900X

Provider Legal NameVIVIAN PHAMCredential: M.D.

Location Address4860 Y ST STE 3020Sacramento, CA 95817-2307

Mailing Address4860 Y St Ste 3020Sacramento, CA 95817-2307

Phone(916) 734-6824

Sole ProprietorNo

Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2016

Enumeration DateApril 14, 2016

Last NPPES UpdateDecember 20, 20213 updates tracked since enumeration

NPPES CertifiedJuly 24, 2020

✔ NPI 1497109680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207LP2900X

License✔ Licensed in CA · A154042

Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

4860 Y ST STE 3020, Sacramento, CA 95817

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Secondary Practice Location 1

Location 1275 W MacArthur BlvdOakland, CA 94611-5641 · Phone (510) 752-1000

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

Vivian Pham M.d. 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 ID8325399876

PECOS Enrollment IDI20220608001294

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.

Other Providers at the Same Location NPPES 16

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

DR. ANDREA JEAN WAKIM NIKOLIS MD

Pain Medicine (Pain Medicine)