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

Thanh Trung Pham

Individual provider Medical Physician Assistant · NPI 1285247049

Thanh Trung Pham is a Physician Assistant in San Bernardino, California. Qualified in 2020, 6 years ago. Practices with Emergency Physicians Urgent Care Inc, a 140-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
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Practice location Address checks out

590 N Sierra Way
San Bernardino, CA 92410-4817
Phone: (909) 495-3595
Fax: (909) 763-2544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 80545 Us Highway 111, Indio, CA 92201-8367 — (760) 347-9221
  • 9695 Base Line Rd, Rancho Cucamonga, CA 91730-1314 — (909) 941-0920

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA59381 (CA)

Record details

NPI number1285247049
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 30, 2020
Last updated in NPPESAugust 16, 2022
Certification dateAugust 16, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Emergency Physicians Urgent Care Inc — 140 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in San Bernardino