Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Cecilia T Pham, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1962031294

Dr. Cecilia T Pham, DO is a Family Practice in Costa Mesa, California. Qualified in 2020, 6 years ago. Practices as a sole proprietor, works from 2 locations and offers telehealth. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1190 Baker St Ste 100
Costa Mesa, CA 92626-4105
Phone: (949) 791-3250
Fax: (949) 791-3261
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 624 E Front Ave, Spokane, WA 99202-2139 — (509) 626-9900

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X · Licence 20A21614 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1962031294
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 7, 2020
Last updated in NPPESDecember 27, 2023
Certification dateDecember 27, 2023
Mailing address624 E Front Ave, Spokane, WA 99202-2139

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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