DR. JONATHAN NGUYEN-KHOI PHAM OD
NPI 1750045720
Optometrist - Low Vision Rehabilitation in San Francisco, CA

Active since October 26, 2021PECOS EnrolledAccepts Medicare Assignment
4150 CLEMENT STREET, EYE CLINIC, SAN FRANCISCO, CA 94121(410) 221-4810 Get Directions Write a Review

NPPES record last updated: October 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jonathan Nguyen-khoi Pham Od NPPES

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

DR. JONATHAN NGUYEN-KHOI PHAM OD (NPI 1750045720) is an individual low vision rehabilitation provider in San Francisco, California, licensed in California (39474) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (2021).

NPPES Registry Identity

NPI1750045720
Entity TypeIndividualMale
Primary Taxonomy152WL0500X
Provider Legal NameDR. JONATHAN NGUYEN-KHOI PHAMCredential: OD
Location Address4150 CLEMENT STREET, EYE CLINICSan Francisco, CA 94121-1563
Mailing Address3333 Clement St Apt 5San Francisco, CA 94121-1640 · (510) 364-6529
Sole ProprietorYes
Medical School CMSState University Of New York - State College OptometryGraduated 2021
Enumeration DateOctober 26, 2021
NPPES CertifiedSeptember 24, 2021
NPI 1750045720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometrist · Low Vision RehabilitationEye and Vision Services Providers
Taxonomy Code152WL0500X
License Licensed in CA · 39474
Definition
Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services.
4150 CLEMENT STREET, San Francisco, CA 94121

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jonathan Nguyen-khoi Pham Od 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 ID9133512890
PECOS Enrollment IDI20251021002471
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 94121 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
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.

Psychiatry & Neurology (Neurology)
4150 CLEMENT STREET, VAMC 127
SAN FRANCISCO, CA 94121
Respiratory Therapist, Certified
4150 CLEMENT STREET
SAN FRANCISCO, CA 94121
Internal Medicine
4150 CLEMENT STREET, GIMS 111A1 SAN FRANCISCO VA MEDICAL CENTER
SAN FRANCISCO, CA 94121
Radiology (Diagnostic Radiology)
4150 CLEMENT STREET, VA MEDICAL CENTER
SAN FRANCISCO, CA 94121
Internal Medicine
4150 CLEMENT STREET, VETERANS AFFAIRS HOSPITAL
SAN FRANCISCO, CA 94121
Student in an Organized Health Care Education/Training Program
4150 CLEMENT STREET, BLDG. 200 1ST FLOOR, ROOM 1D-007
SAN FRANCISCO, CA 94121
Social Worker
4150 CLEMENT STREET, BUILDING 208
SAN FRANCISCO, CA 94121
Nurse Practitioner (Primary Care)
4150 CLEMENT STREET
SAN FRANCISCO, CA 94121

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 Jonathan Pham's NPI number?

The NPI number for Jonathan Pham is 1750045720. It was assigned to this individual provider in the NPPES registry on October 26, 2021.

Where is Jonathan Pham located?

Jonathan Pham practices at 4150 Clement Street Eye Clinic, San Francisco, CA 94121. The listed phone number is (410) 221-4810.

What is Jonathan Pham's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Low Vision Rehabilitation, with taxonomy code 152WL0500X.

Is Jonathan Pham enrolled in Medicare?

Yes. Jonathan 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.

When was this NPI record last updated?

The NPPES record for Jonathan Pham was last updated on October 26, 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.