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

Nicole Pham

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1083289649

Nicole Pham is a Podiatry in Manteca, California. Graduated from California School of Podiatric Medicine in 2022, 4 years ago. Practices as a sole proprietor and works from 3 locations. Licensed in California.

Years since qualifying
4
Trained at
California School of Podiatric Medicine
Licensed in
CA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

1140 Norman Dr Ste 1
Manteca, CA 95336-5900
Phone: (209) 823-2700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5451 Walnut Ave, Chino, CA 91710-2609 — (909) 464-8600
  • 3100 Telegraph Ave, Oakland, CA 94609-3239 — (925) 980-5577

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence E6082 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1083289649
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 25, 2021
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025
Mailing address1140 Norman Dr Ste 1, Manteca, CA 95336-5900

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolCALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Manteca