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

Ethan Pham

Individual provider Medical Physician Assistant · NPI 1144954488

Ethan Pham is a Physician Assistant in Tempe, Arizona. Qualified in 2023, 3 years ago. Practices with Transitions Center PLLC, a 5-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
3
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1030 E Guadalupe Rd
Tempe, AZ 85283-3044
Phone: (480) 491-1898
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1144954488
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 12, 2022
Last updated in NPPESDecember 8, 2023
Certification dateDecember 8, 2023
Mailing address2722 N 7th St Unit 8, Phoenix, AZ 85006-1067

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Transitions Center Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Tempe