NICOLE PHAM DPM PROFESSIONAL CORPORATION
NPI 1538040001
Podiatrist in Manteca, CA

Active since September 10, 2025
1140 NORMAN DR STE 1, MANTECA, CA 95336(209) 823-2700 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 5, 2025, Sep 10, 2025 (2 updates tracked since 2025).

About Nicole Pham Dpm Professional Corporation NPPES

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

NICOLE PHAM DPM PROFESSIONAL CORPORATION (NPI 1538040001) is a healthcare organization registered as a podiatrist in Manteca, California and active in the NPI registry since September 2025. The organization lists Nicole Pham, Ceo, as its authorized official.

NPPES Registry Identity

NPI1538040001
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameNICOLE PHAM DPM PROFESSIONAL CORPORATION
Location Address1140 NORMAN DR STE 1Manteca, CA 95336-5900
Mailing Address1140 Norman Dr Ste 1Manteca, CA 95336-5900
Organization SubpartNo
Authorized OfficialNicole PhamCeo · (925) 980-5577
Enumeration DateSeptember 10, 2025
Last NPPES UpdateNovember 5, 20252 updates tracked since enumeration
NPPES CertifiedNovember 5, 2025
NPI 1538040001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
1140 NORMAN DR STE 1, Manteca, CA 95336

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Podiatrist (Foot & Ankle Surgery)
1140 NORMAN DR STE 1
MANTECA, CA 95336

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 Nicole Pham Dpm Professional Corporation's NPI number?

The NPI number for Nicole Pham Dpm Professional Corporation is 1538040001. It was assigned to this organization in the NPPES registry on September 10, 2025.

Where is Nicole Pham Dpm Professional Corporation located?

Nicole Pham Dpm Professional Corporation is located at 1140 Norman Dr Ste 1, Manteca, CA 95336. The listed phone number is (209) 823-2700.

What is Nicole Pham Dpm Professional Corporation's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Nicole Pham Dpm Professional Corporation was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.