JENNY PHAM
NPI 1730836487
Physician Assistant in Pleasanton, CA

Active since March 02, 2022PECOS Enrolled
4626 WILLOW RD, PLEASANTON, CA 94588(925) 463-0470 Get Directions Write a Review

NPPES record last updated: March 2, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jenny Pham NPPES

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

JENNY PHAM (NPI 1730836487) is an individual physician assistant in Pleasanton, California, licensed in California (60770) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730836487
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJENNY PHAM
Location Address4626 WILLOW RDPleasanton, CA 94588-8517
Mailing Address3207 Yellowleaf CtSan Jose, CA 95135-2029 · (408) 387-2689
Sole ProprietorYes
Enumeration DateMarch 2, 2022
NPPES CertifiedMarch 2, 2022
NPI 1730836487 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 · 60770
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.

4626 WILLOW RD, Pleasanton, CA 94588

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jenny Pham is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 94588 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

Orthopaedic Surgery
4626 WILLOW RD, SUITE 200
PLEASANTON, CA 94588
Orthopaedic Surgery
4626 WILLOW RD, SUITE 200
PLEASANTON, CA 94588
Podiatrist
4626 WILLOW RD, STE 200
PLEASANTON, CA 94588
Orthopaedic Surgery (Hand Surgery)
4626 WILLOW RD
PLEASANTON, CA 94588
Orthopaedic Surgery
4626 WILLOW RD, SUITE 200
PLEASANTON, CA 94588
Orthopaedic Surgery (Sports Medicine)
4626 WILLOW RD, SUITE 200
PLEASANTON, CA 94588
Orthopaedic Surgery
4626 WILLOW RD, SUITE 200
PLEASANTON, CA 94588
Occupational Therapist
4626 WILLOW RD, SUITE 200
PLEASANTON, CA 94588

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 Jenny Pham's NPI number?

The NPI number for Jenny Pham is 1730836487. It was assigned to this individual provider in the NPPES registry on March 2, 2022.

Where is Jenny Pham located?

Jenny Pham practices at 4626 Willow Rd, Pleasanton, CA 94588. The listed phone number is (925) 463-0470.

What is Jenny Pham's specialty?

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

Is Jenny Pham enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jenny Pham was last updated on March 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.