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

Dr. Tracy L. Pham, MD

Individual provider Pediatrics Physician · NPI 1619166147

Dr. Tracy L. Pham, MD is a Pediatrics Physician in San Mateo, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

222 W 39th Ave
San Mateo, CA 94403-4364
Phone: (650) 573-2222
Fax: (650) 573-3772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence A99725 (CA)

Record details

NPI number1619166147
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 22, 2007
Last updated in NPPESMay 3, 2023
Certification dateMay 3, 2023
Mailing address222 W 39th Ave, San Mateo, CA 94403-4364

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