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

Johnny Pham, FNP

Individual provider Family Nurse Practitioner · NPI 1205578622

Johnny Pham, FNP is a Nurse Practitioner in Pomona, California. Qualified in 2021, 5 years ago. Practices with Minuteclinic Diagnostic Medical Group of California Inc, a 26-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2022
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

775 E Foothill Blvd
Pomona, CA 91767-1223
Phone: (909) 621-6708
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95020474 (CA)

Record details

NPI number1205578622
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedApril 7, 2022
Last updated in NPPESSeptember 2, 2022
Certification dateSeptember 2, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Minuteclinic Diagnostic Medical Group Of California Inc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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