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CYNTHIA PHAM
NPI 1497331888
Physical Medicine & Rehabilitation - Sports Medicine in Carson, CA

Active since March 24, 2021PECOS EnrolledAccepts Medicare Assignment
1223 E 223RD ST UNIT 28, CARSON, CA 90745(310) 953-7978 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 25, 2025, Mar 24, 2021 (2 updates tracked since 2021).

About Cynthia Pham NPPES

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

CYNTHIA PHAM (NPI 1497331888) is an individual sports medicine provider in Carson, California, licensed in California (A201735) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1497331888
Entity TypeIndividualFemale
Primary Taxonomy2081S0010X
Provider Legal NameCYNTHIA PHAM
Location Address1223 E 223RD ST UNIT 28Carson, CA 90745-4231
Mailing Address1223 E 223rd St Unit 28Carson, CA 90745-4231 · (310) 953-7978
Phone(310) 953-7978
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 24, 2021
Last NPPES UpdateJune 25, 20252 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
✔ NPI 1497331888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License✔ Licensed in CA · A201735
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
1223 E 223RD ST UNIT 28, Carson, CA 90745
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cynthia Pham 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 ID547664203
PECOS Enrollment IDI20251120001666
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 Cynthia Pham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
3.6 mi
Health Maintenance Organization
25825 VERMONT AVE
Harbor City, CA 90710
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1598797011 (310) 325-5111

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

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 Cynthia Pham's NPI number?

The NPI number for Cynthia Pham is 1497331888. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Where is Cynthia Pham located?

Cynthia Pham practices at 1223 E 223rd St Unit 28, Carson, CA 90745. The listed phone number is (310) 953-7978.

What is Cynthia Pham's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Is Cynthia Pham enrolled in Medicare?

Yes. Cynthia Pham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Cynthia Pham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cynthia Pham reassigns Medicare benefits to Southern California Permanente Medical Group (Harbor City, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cynthia Pham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Cynthia Pham was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.