KHOA PHAM PA-C
NPI 1740865765
Physician Assistant - Medical in Apo, AP

Active since March 11, 2021

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2025, Mar 11, 2021 (2 updates tracked since 2021).

About Khoa Pham Pa-c NPPES

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

KHOA PHAM PA-C (NPI 1740865765) is an individual medical provider in Apo, AP, licensed in (1178809) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1740865765
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameKHOA PHAMCredential: PA-C
Location AddressUNIT 15092Apo, AP 96224-5092
Mailing Address111050 Mount Belvedere BlvdFort Drum, NY 13602 · (714) 855-7979
Sole ProprietorNo
Enumeration DateMarch 11, 2021
Last NPPES UpdateOctober 13, 20252 updates tracked since enumeration
NPPES CertifiedOctober 13, 2025
NPI 1740865765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed · 1178809

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 Khoa Pham's NPI number?

The NPI number for Khoa Pham is 1740865765. It was assigned to this individual provider in the NPPES registry on March 11, 2021.

Where is Khoa Pham located?

Khoa Pham practices at Unit 15092, Apo, AP 96224. The listed phone number is (315) 737-3543.

What is Khoa Pham's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Khoa Pham was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.