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

Thong Pham

Individual provider Registered Nurse · NPI 1194318436

Thong Pham is a Nurse Practitioner in San Diego, California. Qualified in 2024, 2 years ago. Works from 2 locations. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

9855 Erma Rd Ste 133
San Diego, CA 92131-1092
Phone: (858) 343-4572
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3853 Rosecrans St, San Diego, CA 92110-3115 — (619) 692-8200

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95030195 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95244483 (CA)

Record details

NPI number1194318436
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 18, 2021
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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