DR. CHINH DUC PHAM M.D. NPI 1154385540

NPI Information

  • NPI: 1154385540
  • Provider Name: DR. CHINH DUC PHAM, M.D.
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3102 E. HIGHLAND AVENUE
    MEDICAL STAFF OFFICE
    PATTON, CA
    ZIP 92369
  • Phone: (909) 425-7679

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NPI Details

DR. Chinh Duc Pham, M.D. is a neurology psychiatry neurology in Patton, CA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Chinh Duc Pham, M.D. NPI is 1154385540. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3102 E. HIGHLAND AVENUE
MEDICAL STAFF OFFICE
PATTON, CA
ZIP 92369
Phone: (909) 425-7679
Fax: (909) 425-6635

The NPI 1154385540 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 4/13/2006 and was last updated on 8/7/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurologyA55818CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1I 01324MEDICARE UPINCALIFORNIA
2A55818MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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