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BRYAN PHAM
NPI 1528763083
Emergency Medicine in Loma Linda, CA

Active since April 04, 2023PECOS Enrolled
11234 ANDERSON STREET, GME OFFICE WESTERLY SUITE 'C', LOMA LINDA, CA 92354(909) 558-4085 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 9, 2026, Apr 4, 2023 (2 updates tracked since 2023).

About Bryan Pham NPPES

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

BRYAN PHAM (NPI 1528763083) is an individual emergency medicine provider in Loma Linda, California, licensed in California (20A23448) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Osteopathic Medicine (2023).

NPPES Registry Identity

NPI1528763083
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameBRYAN PHAM
Location Address11234 ANDERSON STREET, GME OFFICE WESTERLY SUITE 'C'Loma Linda, CA 92354-2804
Mailing Address11234 Anderson St, Gme Office Westerly Suite 'c'Loma Linda, CA 92354-2804 · (909) 558-4085
Phone(909) 558-4085
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2023
Enumeration DateApril 4, 2023
Last NPPES UpdateJuly 9, 20262 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1528763083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · 20A23448
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
11234 ANDERSON STREET, Loma Linda, CA 92354
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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 (PECOS)

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

PECOS PAC ID5294290854
PECOS Enrollment IDI20260723003703
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 Bryan Pham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cep America - California
28 mi
Emergency Medicine
1798 N. GAREY AVENUE
Pomona, CA 91767
  • Reassigned Medicare billing, California enrollment
  • 1,204 clinicians in this Medicare group
NPI 1740235258 (909) 865-9500

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 92354 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 20

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

ABHISHEK JAY DHARAN MD
Student in an Organized Health Care Education/Training Program
11234 ANDERSON STREET, GME OFFICE WESTERLY SUITE C
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6491
RACHEL ELIZABETH GELFOND DAVIDGE D.O.
Pediatrics
11234 ANDERSON STREET, LOMA LINDA UNIVERSITY HEALTH, GENERAL PEDIATRICS
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4174
DR. KRISTINA KYLE M.D.
Emergency Medicine
11234 ANDERSON STREET, LOMA LINDA UNIVERSITY HEALTH - EMERGENCY MEDICINE
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4085
DOUGLAS WANG
Internal Medicine
11234 ANDERSON STREET, GME OFFICE WESTERLY SUITE C
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4174
FARAH SHAKER ABED ABUAZZAM
Student in an Organized Health Care Education/Training Program
11234 ANDERSON STREET
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4911
DR. JOSHUA STUART MACLAUGHLAN MD
Radiology (Diagnostic Radiology)
11234 ANDERSON STREET
LOMA LINDA, CA 92354
San Bernardino County (909) 558-7814
YURI JIN
Emergency Medicine
11234 ANDERSON STREET, EMERGENCY MEDICINE
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4085
SHELDON VOGT
Student in an Organized Health Care Education/Training Program
11234 ANDERSON STREET, LOMA LINDA UNIVERSITY HEALTH-SURGERY
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2822

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 Bryan Pham's NPI number?

The NPI number for Bryan Pham is 1528763083. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Where is Bryan Pham located?

Bryan Pham practices at 11234 Anderson Street Gme Office Westerly Suite 'c', Loma Linda, CA 92354. The listed phone number is (909) 558-4085.

What is Bryan Pham's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Bryan Pham enrolled in Medicare?

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

Which organization bills Medicare for Bryan Pham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bryan Pham reassigns Medicare benefits to Cep America - California (Pomona, 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 Bryan 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 Bryan Pham was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.