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DR. SALLY THANH PHAM DPM
NPI 1730218678
Podiatrist - Foot & Ankle Surgery in Livermore, CA

Active since March 05, 2007PECOS EnrolledAccepts Medicare Assignment
48 FENTON ST, LIVERMORE, CA 94550(925) 455-1555(925) 292-7592 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Sally Thanh Pham Dpm NPPES

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

DR. SALLY THANH PHAM DPM (NPI 1730218678) is an individual foot & ankle surgery provider in Livermore, California, licensed in California (E4685) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of California School Of Podiatric Medicine (2004).

NPPES Registry Identity

NPI1730218678
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameDR. SALLY THANH PHAMCredential: DPM
Location Address48 FENTON STLivermore, CA 94550-4144
Mailing Address48 Fenton StLivermore, CA 94550-4144 · (925) 455-1555 · Fax (925) 292-7592
Phone(925) 455-1555
Fax(925) 292-7592
Sole ProprietorNo
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 2004
Enumeration DateMarch 5, 2007
Last NPPES UpdateDecember 15, 2021
✔ NPI 1730218678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in CA · E4685
48 FENTON ST, Livermore, CA 94550
Open in Google Maps ↗

Other Identifiers 1

Other6337710001CA · Nsc Ptan

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

Dr. Sally Thanh Pham Dpm 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 ID6507908191
PECOS Enrollment IDI20100120000354
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

2

Medicare enrollment records show Sally Pham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

For Feet Sake Podiatry Group, Inc.
20 mi
Podiatrist
1521 BESSIE AVE
Tracy, CA 95376
  • Reassigned Medicare billing, California enrollment
  • 9 clinicians in this Medicare group
NPI 1811921851 (209) 835-4276
Permanente Medical Group Inc
26 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BAY AREA FOOT AND ANKLE SPECIALISTS, INC
Podiatrist (Foot & Ankle Surgery)
48 FENTON ST
LIVERMORE, CA 94550
Alameda County (925) 455-1555

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 Sally Pham's NPI number?

The NPI number for Sally Pham is 1730218678. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Sally Pham located?

Sally Pham practices at 48 Fenton St, Livermore, CA 94550. The listed phone number is (925) 455-1555.

What is Sally Pham's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Sally Pham enrolled in Medicare?

Yes. Sally 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 Sally Pham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sally Pham reassigns Medicare benefits to 2 organizations: For Feet Sake Podiatry Group, Inc. (Tracy, CA) and Permanente Medical Group Inc (Santa Clara, 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 Sally 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 Sally Pham was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.