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

Tra V Pham, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1073045449

Tra V Pham, MD is an Obstetrics/Gynecology in Ridgecrest, California. Graduated from Chicago Homeopathic Medical College in 2017, 9 years ago. Practices with Grande Ronde Hospital Inc, a 96-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California, Georgia and Michigan.

Years since qualifying
9
Trained at
Chicago Homeopathic Medical College
Licensed in
CA, GA, MI
In the registry since
2017
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1081 N China Lake Blvd
Ridgecrest, CA 93555-3130
Phone: (760) 446-3551
Show map & directions

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

Additional practice locations (2)

  • 42 N Saint Joseph Ave Ste 201, Niles, MI 49120-2203 — (269) 687-0808
  • 3950 Hollywood Rd Ste 100, Saint Joseph, MI 49085-9151 — (269) 429-8010

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X · Licence A196360 (CA)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 4301508282 (MI)
Gynecology Physician Taxonomy 207VG0400X · Licence 87896 (GA)

Record details

NPI number1073045449
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2017
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026
Mailing address1324 W Pennsylvania Ave, San Diego, CA 92103-3706

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolCHICAGO HOMEOPATHIC MEDICAL COLLEGE
Graduated 2017 (9 years in practice)
Group practice Grande Ronde Hospital Inc — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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