THANH TRUNG PHAM
NPI 1285247049
Physician Assistant - Medical in San Bernardino, CA

NPI Status: Active since August 30, 2020

Contact Information

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

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  • Individual
  • Male
  • Years of Experience 6
  • Physician Assistant
  • Medical
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About THANH PHAM

This page provides the complete NPI Profile along with additional information for Thanh Pham, a primary care provider established in San Bernardino, California with a medical specialization in Physician Assistant, focusing in medical and more than 6 years of experience. The healthcare provider is registered in the NPI registry with number 1285247049 assigned on August 2020. The practitioner's primary taxonomy code is 363AM0700X with license number PA59381 (CA). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1285247049
Provider Name
THANH TRUNG PHAM
Gender
Male
Entity Type
Individual
Location Address
590 N SIERRA WAY SAN BERNARDINO, CA 92410
Location Phone
(909) 495-3595
Location Fax
(909) 763-2544
Mailing Address
590 N SIERRA WAY SAN BERNARDINO, CA 92410
Mailing Phone
(909) 495-3595
Medical School Name
OTHER
Graduation Year
2020
Is Sole Proprietor?
No
Enumeration Date
08-30-2020
Last Update Date
08-16-2022
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A primary care provider (PCP) like Thanh Pham sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Secondary Locations

  • 80545 US Highway 111
    Indio, CA 92201
    (760) 347-9221
  • 9695 Base Line Rd
    Rancho Cucamonga, CA 91730
    (909) 941-0920

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA59381
License State
CA

Medicare Participation & PECOS Enrollment Status

Thanh Pham is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Thanh Pham is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7113361700

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240222002033

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for THANH TRUNG PHAM

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285247049
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22165441408
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 4 + 4 + 1 + 4 + 0 + 8 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1285247049 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1164617601 LEONARDO CARLITO MPT
Individual
Physical Medicine & Rehabilitation590 N SIERRA WAY
SAN BERNARDINO, CA 92410
(909) 888-8152
1881038628QUALITY CARE IPA INLAND EMPIRE, INC
Organization
Specialist590 N SIERRA WAY
SAN BERNARDINO, CA 92410
(909) 495-3595
1942686654MERIT IPA
Organization
Health Maintenance Organization590 N SIERRA WAY
SAN BERNARDINO, CA 92410
(909) 495-3595
1346685815SURYA RX SERVICES INC
Organization
Pharmacy590 N SIERRA WAY
SAN BERNARDINO, CA 92410
(949) 495-3599
1760083646GOLDEN COAST MSO, INC.
Organization
Clinic/Center (Primary Care)590 N SIERRA WAY
SAN BERNARDINO, CA 92410
(909) 461-1515

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285247049, enumerated in the NPI registry as an "individual" on August 30, 2020

The provider is located at 590 N Sierra Way San Bernardino, Ca 92410 and the phone number is (909) 495-3595

The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical

The provider has more than 6 years of experience.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on August 30, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.