DR. JONATHAN NGUYEN-KHOI PHAM OD
NPI 1750045720
Optometrist - Low Vision Rehabilitation in Fremont, CA
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 Fremont, 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
Specialties & Licenses
Accepted Insurance
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. 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.
Medicare Billing Reassignment
Medicare enrollment records show Jonathan Pham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fremont, CA 94538
- Reassigned Medicare billing, California enrollment
- 127 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94538 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 39500 Liberty St, Fremont, CA 94538. The listed phone number is (510) 770-8040.
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.
Which organization bills Medicare for Jonathan Pham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Pham reassigns Medicare benefits to Bay Area Community Health (Fremont, CA). The 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 Jonathan Pham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jonathan Pham accept?
Health plans from Anthem Blue Cross and Blue Shield list Jonathan Pham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jonathan Pham was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dr. Jonathan Nguyen-Khoi Pham, OD · NPI 1750045720
Low Vision Rehabilitation provider in Fremont, California. Individual provider, active in the CMS NPPES registry since October 26, 2021.
## Identity
- **NPI:** 1750045720 (Entity type: Individual)
- **Enumerated:** October 26, 2021
- **Primary specialty:** Optometrist - Low Vision Rehabilitation · taxonomy 152WL0500X
- **State license:** 39474 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 39500 LIBERTY ST, Fremont, CA 94538-2211
- **Phone:** (510) 770-8040
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Bay Area Community Health (NPI 1184791998, Fremont, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York - State College Optometry, class of 2021
## Record status
- **NPPES last updated:** October 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1750045720) · Data from the CMS NPPES public registry.