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
- 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
- Code Navigator
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
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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. | |||||||||
1 | 2 | 8 | 5 | 2 | 4 | 7 | 0 | 4 | 9 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 16 | 5 | 4 | 4 | 14 | 0 | 8 | |
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 = 9 | 9 |
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 & Rehabilitation | 590 N SIERRA WAY SAN BERNARDINO, CA 92410 (909) 888-8152 |
1881038628 | QUALITY CARE IPA INLAND EMPIRE, INC Organization | Specialist | 590 N SIERRA WAY SAN BERNARDINO, CA 92410 (909) 495-3595 |
1942686654 | MERIT IPA Organization | Health Maintenance Organization | 590 N SIERRA WAY SAN BERNARDINO, CA 92410 (909) 495-3595 |
1346685815 | SURYA RX SERVICES INC Organization | Pharmacy | 590 N SIERRA WAY SAN BERNARDINO, CA 92410 (949) 495-3599 |
1760083646 | GOLDEN 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].
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