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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

VINCENT PHAM
NPI 1629977632
Student in an Organized Health Care Education/Training Program in Vallejo, CA

Active since November 04, 2026
1310 CLUB DR, VALLEJO, CA 94592(707) 638-5200 Get Directions Write a Review

NPPES record added: November 4, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Vincent Pham NPPES

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

VINCENT PHAM (NPI 1629977632) is an individual student in an organized health care education/training program in Vallejo, California, licensed in California (INT55370) and active in the NPI registry since November 2026.

NPPES Registry Identity

NPI1629977632
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameVINCENT PHAM
Location Address1310 CLUB DRVallejo, CA 94592-1187
Mailing Address1159 Summer WayPittsburg, CA 94565-1767 · (510) 480-9550
Phone(707) 638-5200
Sole ProprietorNo
Enumeration DateNovember 4, 2026
NPPES CertifiedNovember 4, 2026
✔ NPI 1629977632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in CA · INT55370
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1310 CLUB DR, Vallejo, CA 94592
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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.

THAO-VY THI TRAN
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5200
CARLY COLE
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5809
RICARDO CALIXTRO-LOPEZ
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5809
ASHLEY NICOLE RITUALO CHAN
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5809
EMILY SPAIN
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5809
AUSTIN JOE WILLIS
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5809
BRIANNA ARLENE VELA PHYSICIAN ASSISTANT
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5809
ANNA NUNOO
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Solano County (707) 638-5809

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 Vincent Pham's NPI number?

The NPI number for Vincent Pham is 1629977632. It was assigned to this individual provider in the NPPES registry on November 4, 2026.

Where is Vincent Pham located?

Vincent Pham practices at 1310 Club Dr, Vallejo, CA 94592. The listed phone number is (707) 638-5200.

What is Vincent Pham's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Vincent Pham was last updated on November 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.