NICOLE PHAM DPM PROFESSIONAL CORPORATION
NPI 1538040001
Podiatrist in Manteca, CA
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
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nicole Pham Dpm Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Nicole Pham DPM Professional Corporation, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 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.
Is Nicole Pham Dpm Professional Corporation enrolled in Medicare?
Yes. Nicole Pham Dpm Professional Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Nicole Pham Dpm Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Nicole Pham Dpm Professional Corporation. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 11 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.
# Nicole Pham Dpm Professional Corporation · NPI 1538040001
Podiatrist organization in Manteca, California. Organization record, active in the CMS NPPES registry since September 10, 2025.
## Identity
- **NPI:** 1538040001 (Entity type: Organization)
- **Enumerated:** September 10, 2025
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **Organization subpart:** No
- **Authorized official:** Nicole Pham, CEO
## Practice location
- **Address:** 1140 NORMAN DR STE 1, Manteca, CA 95336-5900
- **Phone:** (209) 823-2700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1538040001) · Data from the CMS NPPES public registry.