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

Emi Pham, PA

Individual provider Medical Physician Assistant · NPI 1932666815

Emi Pham, PA is a Physician Assistant in Fullerton, California. Qualified in 2019, 7 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2019
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2251 N Harbor Blvd
Fullerton, CA 92835-2601
Phone: (714) 449-6230
Fax: (714) 449-1773
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2501 E Chapman Ave Ste 101, Orange, CA 92869-3204 — (714) 633-1011
  • 3240 Fort Rd, Toppenish, WA 98948-9562 — (509) 865-0707

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 57134 (CA)

Record details

NPI number1932666815
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 27, 2019
Last updated in NPPESNovember 9, 2021
Certification dateNovember 9, 2021
Mailing address23811 Formello, Laguna Hills, CA 92653-1843

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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