THANH TRUNG PHAM NPI 1285247049

NPI Information

  • NPI: 1285247049
  • Provider Name: THANH TRUNG PHAM
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 590 N SIERRA WAY
    SAN BERNARDINO, CA
    ZIP 92410
  • Phone: (909) 495-3595

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NPI Details

Thanh Trung Pham is a medical physician assistant in San Bernardino, CA with 6 years of experience. Thanh Trung Pham NPI is 1285247049. 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:

590 N SIERRA WAY
SAN BERNARDINO, CA
ZIP 92410-817
Phone: (909) 495-3595
Fax: (909) 763-2544

The NPI 1285247049 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/30/2020 and was last updated on 8/16/2022.

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
1363AM0700XPhysician AssistantMedicalPA59381CALIFORNIAYes

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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