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

Individual provider Physician Assistant · NPI 1366777575

Mr. Ha Le Pham, PA-C is a Physician Assistant in Prescott, Arizona. Qualified in 2009, 17 years ago. Practices with Forefront Dermatology SC, a 645-clinician group, works from 7 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
17
Licensed in
AZ
In the registry since
2009
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

830 Ainsworth Dr
Prescott, AZ 86301-1630
Phone: (928) 777-5800
Fax: (928) 776-0405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (6)

  • 203 S Candy Ln # 14, Cottonwood, AZ 86326-4120 — (928) 639-3387
  • 2135 E Rockwood Dr, Phoenix, AZ 85024-3064 — (602) 222-9111
  • 820 Ainsworth Dr Ste A, Prescott, AZ 86301-1613 — (928) 777-5800
  • 820 Ainsworth Dr Ste B, Prescott, AZ 86301-1613 — (928) 777-5810
  • 2820 N Glassford Hill Rd Ste 107, Prescott Valley, AZ 86314-2256 — (928) 772-8553
  • 2820 N Glassford Hill Rd Ste 103, Prescott Valley, AZ 86314-2256 — (928) 772-8553

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4442 (AZ)

Record details

NPI number1366777575
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 5, 2009
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Forefront Dermatology Sc — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Prescott