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KEVIN PHAM
NPI 1629531868
Radiology - Diagnostic Radiology in Los Angeles, CA

Active since April 12, 2019PECOS EnrolledAccepts Medicare Assignment
1500 SAN PABLO ST FL 2, LOS ANGELES, CA 90033(323) 442-8541 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 17, 2024, Jun 13, 2024, Apr 12, 2019 (3 updates tracked since 2019).

About Kevin Pham NPPES

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

KEVIN PHAM (NPI 1629531868) is an individual diagnostic radiology provider in Los Angeles, California, licensed in California (A176264) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1629531868
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameKEVIN PHAM
Location Address1500 SAN PABLO ST FL 2Los Angeles, CA 90033-5313
Mailing Address1500 San Pablo St Fl 2Los Angeles, CA 90033-5313
Phone(323) 442-8541
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 12, 2019
Last NPPES UpdateJune 17, 20243 updates tracked since enumeration
NPPES CertifiedJune 17, 2024
✔ NPI 1629531868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in CA · A176264
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1500 SAN PABLO ST FL 2, Los Angeles, CA 90033
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin 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 ID1850733007
PECOS Enrollment IDI20240520003773
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Kevin Pham reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Usc Care Medical Group, Inc
Same address
General Practice
1520 SAN PABLO ST
Los Angeles, CA 90033
  • Reassigned Medicare billing, California enrollment
  • 2,445 clinicians in this Medicare group
NPI 1902846306 (323) 442-5955
Newport Harbor Radiology Associates Medical Group, Inc
34 mi
Diagnostic Radiology
ONE HOAG DRIVE
Newport Beach, CA 92663
  • Reassigned Medicare billing, California enrollment
  • 64 clinicians in this Medicare group
NPI 1053355792 (949) 764-5570
Newport Center Radiology Associates Medical Group Inc
36 mi
Diagnostic Radiology
360 SAN MIGUEL DR STE 106
Newport Beach, CA 92660
  • Reassigned Medicare billing, California enrollment
  • 74 clinicians in this Medicare group
NPI 1013951714 (949) 764-7480

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
322 services216 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
94 services67 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 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.

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.

ERIC ALLAN WHITE M.D.
Radiology (Diagnostic Radiology)
1500 SAN PABLO ST FL 2
LOS ANGELES, CA 90033
Los Angeles County (323) 442-8541
CATHERINE JUNGEUN EVANS M.D.
Radiology (Diagnostic Radiology)
1500 SAN PABLO ST FL 2
LOS ANGELES, CA 90033
Los Angeles County (323) 442-8541
NATHAN MATTHEW KAN D.O.
Radiology (Diagnostic Radiology)
1500 SAN PABLO ST FL 2
LOS ANGELES, CA 90033
Los Angeles County (323) 442-8541
DR. EDWARD GARY GRANT M.D.
Radiology (Body Imaging)
1500 SAN PABLO ST FL 2
LOS ANGELES, CA 90033
Los Angeles County (323) 442-8541
FLOYD CLARK GARDNER MD
Radiology (Diagnostic Radiology)
1500 SAN PABLO ST FL 2
LOS ANGELES, CA 90033
Los Angeles County (323) 442-8541
MRS. ERICA DAWN FITZGIBBONS NP-C
Nurse Practitioner
1500 SAN PABLO ST FL 2
LOS ANGELES, CA 90033
Los Angeles County (323) 442-8541
DR. JONATHAN ALEXANDER FRANKEL M.D.
Radiology (Diagnostic Radiology)
1500 SAN PABLO ST FL 2
LOS ANGELES, CA 90033
Los Angeles County (323) 442-8541
LUCIA FLORS BLASCO MD
Radiology (Body Imaging)
1500 SAN PABLO ST FL 2
LOS ANGELES, CA 90033
Los Angeles County (323) 442-8541

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 Kevin Pham's NPI number?

The NPI number for Kevin Pham is 1629531868. It was assigned to this individual provider in the NPPES registry on April 12, 2019.

Where is Kevin Pham located?

Kevin Pham practices at 1500 San Pablo St Fl 2, Los Angeles, CA 90033. The listed phone number is (323) 442-8541.

What is Kevin Pham's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Kevin Pham enrolled in Medicare?

Yes. Kevin 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.

Which organizations bill Medicare for Kevin Pham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Pham reassigns Medicare benefits to 3 organizations: Usc Care Medical Group, Inc (Los Angeles, CA), Newport Harbor Radiology Associates Medical Group, Inc (Newport Beach, CA) and Newport Center Radiology Associates Medical Group Inc (Newport Beach, CA). Each 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 Kevin Pham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kevin Pham was last updated on June 17, 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.