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

Ryan Duy Pham

Individual provider Physician Assistant · NPI 1245705086

Ryan Duy Pham is a Physician Assistant in Newport Beach, California. Qualified in 2018, 8 years ago. Practices with Marque Medical Clinic, Inc, a 22-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2018
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Practice location Address checks out

2075 San Joaquin Hills Rd
Newport Beach, CA 92660-6505
Phone: (949) 760-9222
Fax: (949) 579-2906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11744 Summerwood Ct, Fountain Valley, CA 92708-2668 — (714) 401-8579

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 56054 (CA)

Record details

NPI number1245705086
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 8, 2018
Last updated in NPPESOctober 15, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Marque Medical Clinic, Inc. — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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