NATHAN PHAM
NPI 1801612304
Physician Assistant in Los Angeles, CA

Active since November 29, 2024PECOS Enrolled
849 N MCCADDEN PL # 20, LOS ANGELES, CA 90038(281) 203-9727 Get Directions Write a Review

NPPES record last updated: March 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 9, 2025, Feb 21, 2025 (2 updates tracked since 2025).

About Nathan Pham NPPES

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

NATHAN PHAM (NPI 1801612304) is an individual physician assistant in Los Angeles, California, licensed in California (66013) and active in the NPI registry since November 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1801612304
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameNATHAN PHAM
Location Address849 N MCCADDEN PL # 20Los Angeles, CA 90038-3426
Mailing Address849 N Mccadden Pl # 20Los Angeles, CA 90038-3426 · (281) 203-9727
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 29, 2024
Last NPPES UpdateMarch 9, 20252 updates tracked since enumeration
NPPES CertifiedMarch 9, 2025
NPI 1801612304 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 · 66013
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.
849 N MCCADDEN PL # 20, Los Angeles, CA 90038

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

PECOS PAC ID9537635677
PECOS Enrollment IDI20260416002849
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 90038 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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 Nathan Pham's NPI number?

The NPI number for Nathan Pham is 1801612304. It was assigned to this individual provider in the NPPES registry on November 29, 2024.

Where is Nathan Pham located?

Nathan Pham practices at 849 N Mccadden Pl # 20, Los Angeles, CA 90038. The listed phone number is (281) 203-9727.

What is Nathan Pham's specialty?

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

Is Nathan Pham enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nathan Pham was last updated on March 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.