DR. KIM THIEN PHAM MD
NPI 1598394140
Anesthesiology in San Diego, CA

Q: What is Kim Pham's NPI number?

The NPI number for Kim Pham is 1598394140. It was assigned to this individual provider in the NPPES registry on April 6, 2020.

Q: What is Kim Pham's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kim Pham was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 06, 2020PECOS EnrolledAccepts Medicare Assignment

3626 RUFFIN RD, SAN DIEGO, CA 92123(858) 565-9666 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 25, 2024, Apr 6, 2020 (2 updates tracked since 2020).

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About Dr. Kim Thien Pham Md NPPES

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

DR. KIM THIEN PHAM MD (NPI 1598394140) is an individual anesthesiology provider in San Diego, California, licensed in California (20A13084) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (2020).

NPPES Registry Identity

NPI1598394140

Entity TypeIndividualFemale

Primary Taxonomy207L00000X

Provider Legal NameDR. KIM THIEN PHAMCredential: MD

Location Address3626 RUFFIN RDSan Diego, CA 92123-1810

Mailing Address3626 Ruffin RdSan Diego, CA 92123-1810 · (858) 565-9666

Phone(858) 565-9666

Sole ProprietorNo

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2020

Enumeration DateApril 6, 2020

Last NPPES UpdateJuly 25, 20242 updates tracked since enumeration

NPPES CertifiedJuly 16, 2024

✔ NPI 1598394140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in CA · 20A13084

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

3626 RUFFIN RD, San Diego, CA 92123

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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

Dr. Kim Thien Pham Md 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 ID5799108676

PECOS Enrollment IDI20240819003983

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.

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.

THOMAS J. PIETUCH M.D.

Anesthesiology