MINO THU PHAM M.D.
NPI 1760482996
Family Medicine in Hesperia, CA

Q: What is Mino Pham's NPI number?

The NPI number for Mino Pham is 1760482996. It was assigned to this individual provider in the NPPES registry on July 29, 2005.

Q: What is Mino Pham's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Mino Pham was last updated on November 9, 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.

Active since July 29, 2005PECOS EnrolledAccepts Medicare Assignment

17095 MAIN ST, HESPERIA, CA 92345(760) 948-6606(760) 951-1609 Get Directions Write a Review

NPPES record last updated: November 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 9, 2021, Oct 19, 2020, Sep 14, 2018 and 1 more (4 updates tracked since 2018).

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About Mino Thu Pham M.d. NPPES

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

MINO THU PHAM M.D. (NPI 1760482996) is an individual family medicine provider in Hesperia, California, licensed in California (A82929) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS and is a graduate of New York Medical College (2001).

NPPES Registry Identity

NPI1760482996

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMINO THU PHAMCredential: M.D.

Location Address17095 MAIN STHesperia, CA 92345-6004

Mailing Address17095 Main StHesperia, CA 92345-6004

Phone(760) 948-6606

Fax(760) 951-1609

Sole ProprietorNo

Medical School CMSNew York Medical CollegeGraduated 2001

Enumeration DateJuly 29, 2005

Last NPPES UpdateNovember 9, 20214 updates tracked since enumeration

NPPES CertifiedNovember 9, 2021

✔ NPI 1760482996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A82929

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

17095 MAIN ST, Hesperia, CA 92345

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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

Mino Thu Pham M.d. 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 ID8921077272

PECOS Enrollment IDI20041001001106

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

26 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92345 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

Most-billed visit code 99214

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 14

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

KATHRYN E STEWART PA-C

Physician Assistant (Medical)