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

Individual provider Physician Assistant · NPI 1609673623

Kimberly Pham, PA-C is a Physician Assistant in Glendora, California. Graduated from University of Southern California Keck School of Medicine in 2024, 2 years ago. Licensed in California.

Years since qualifying
2
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

640 W Foothill Blvd Ste 100
Glendora, CA 91741-2456
Phone: (626) 335-4041
Fax: (626) 335-3768
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA65729 (CA)

Record details

NPI number1609673623
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 27, 2025
Last updated in NPPESMarch 10, 2025
Certification dateMarch 10, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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