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JONATHAN THEODORE PHAM
NPI 1548825284
Hospitalist in Loma Linda, CA

Active since May 08, 2019PECOS EnrolledAccepts Medicare Assignment
11234 ANDERSON STREET, GME OFFICE WESTERLY SUITE 'C', LOMA LINDA, CA 92354(909) 558-4074 Get Directions Write a Review

NPPES record last updated: October 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 5, 2022, Jun 11, 2019, May 8, 2019 (3 updates tracked since 2019).

About Jonathan Theodore Pham NPPES

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

JONATHAN THEODORE PHAM (NPI 1548825284) is an individual hospitalist provider in Loma Linda, California, licensed in California (A176996) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2019).

NPPES Registry Identity

NPI1548825284
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameJONATHAN THEODORE PHAM
Location Address11234 ANDERSON STREET, GME OFFICE WESTERLY SUITE 'C'Loma Linda, CA 92354-2804
Mailing Address11234 Anderson Street, Gme Office Westerly Suite 'c'Loma Linda, CA 92354-2804 · (909) 558-4074
Phone(909) 558-4074
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2019
Enumeration DateMay 8, 2019
Last NPPES UpdateOctober 5, 20223 updates tracked since enumeration
NPPES CertifiedOctober 5, 2022
✔ NPI 1548825284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in CA · A176996
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
11234 ANDERSON STREET, GME OFFICE WESTERLY SUITE 'C', Loma Linda, CA 92354
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Other Identifiers 1

OtherLL2502322Loma Linda University Risk Management

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

Jonathan Theodore 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 ID8325422918
PECOS Enrollment IDI20220831001223
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
97 services95 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
88 services87 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
16 services16 patients

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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
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 3

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

ANDREW YIMU VASSANTACHART 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) 558-6202
LAUREN BERNADETTE DE SA 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) 558-4174
BOWON JOUNG
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) 558-4074

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 Jonathan Pham's NPI number?

The NPI number for Jonathan Pham is 1548825284. It was assigned to this individual provider in the NPPES registry on May 8, 2019.

Where is Jonathan Pham located?

Jonathan Pham practices at 11234 Anderson Street, Gme Office Westerly Suite 'c', Loma Linda, CA 92354. The listed phone number is (909) 558-4074.

What is Jonathan Pham's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Jonathan Pham enrolled in Medicare?

Yes. Jonathan 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.

When was this NPI record last updated?

The NPPES record for Jonathan Pham was last updated on October 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.