1. Home
  2. Directory
  3. California
  4. Glendora
  5. Physician Assistant
  6. NPI Profile

KIMBERLY PHAM PA-C
NPI 1609673623
Physician Assistant in Glendora, CA

Active since February 27, 2025PECOS Enrolled
640 W FOOTHILL BLVD STE 100, GLENDORA, CA 91741(626) 335-4041(626) 335-3768 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 10, 2025, Mar 3, 2025 (2 updates tracked since 2025).

About Kimberly Pham Pa-c NPPES

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

KIMBERLY PHAM PA-C (NPI 1609673623) is an individual physician assistant in Glendora, California, licensed in California (PA65729) and active in the NPI registry since February 2025. The provider is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (2024).

NPPES Registry Identity

NPI1609673623
Entity TypeIndividual
Primary Taxonomy363A00000X
Provider Legal NameKIMBERLY PHAMCredential: PA-C
Location Address640 W FOOTHILL BLVD STE 100Glendora, CA 91741-2456
Mailing Address640 W Foothill Blvd Ste 100Glendora, CA 91741-2456
Phone(626) 335-4041
Fax(626) 335-3768
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2024
Enumeration DateFebruary 27, 2025
Last NPPES UpdateMarch 10, 20252 updates tracked since enumeration
NPPES CertifiedMarch 10, 2025
✔ NPI 1609673623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA65729
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

640 W FOOTHILL BLVD STE 100, Glendora, CA 91741
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Pham Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688171135
PECOS Enrollment IDI20251009002450
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91741 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kimberly Pham's NPI number?

The NPI number for Kimberly Pham is 1609673623. It was assigned to this individual provider in the NPPES registry on February 27, 2025.

Where is Kimberly Pham located?

Kimberly Pham practices at 640 W Foothill Blvd Ste 100, Glendora, CA 91741. The listed phone number is (626) 335-4041.

What is Kimberly Pham's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kimberly Pham enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kimberly Pham was last updated on March 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.