KIMBERLY PHAM PA-C
NPI 1609673623
Physician Assistant in Glendora, CA
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
Specialties & Licenses
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.
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).
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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609673623, enumerated as an "individual" on February 27, 2025.
The provider is located at 640 W FOOTHILL BLVD STE 100 GLENDORA, CA 91741 and the phone number is (626) 335-4041.
Physician Assistant with taxonomy code 363A00000X.
