Individual provider Active NPI

VI T Pham, PA-C

  • Medical Physician Assistant
  • Colorado Springs, CO
National Provider Identifier
1003342981
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA.0004927 Issued in CO
Practice address
722 S Wahsatch Ave
Colorado Springs, CO 80903-4035
Phone
(719) 632-5700
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA.0004927 CO Primary

Addresses

Primary practice location

722 S Wahsatch Ave
Colorado Springs, CO 80903-4035

Mailing address

3205 N Academy Blvd Ste 130
Colorado Springs, CO 80917-5152
Phone (719) 632-5700

Other identifiers 1

IdentifierTypeStateIssuer
PA.0004927OtherCODORA MEDICAL BOARD.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240514004090 CO Practitioner - Physician Assistant 4486095916 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.0004927COMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
William Storms Allergy Clinic PC CurrentSince Apr 7, 2024 Accepting new patients
William Storms Allergy Clinic PC CurrentSince Apr 7, 2024 Accepting new patients

Locations

4535 Milestone Ln
Ste Bc
Castle Rock, CO 80104
Phone (720) 547-3151

19245 E Smoky Hill Rd
Unit A
Centennial, CO 80015
Phone (303) 468-8668

6160 Tutt Blvd
Ste 210
Colorado Springs, CO 80923
Phone (719) 345-1047

830 Tenderfoot Hill Rd
Ste 350
Colorado Springs, CO 80906
Phone (719) 345-1047

1625 Medical Center Pt
Ste 190
Colorado Springs, CO 80907
Phone (719) 345-1047

255 Union Blvd
Ste 400
Lakewood, CO 80228
Phone (720) 263-0214

1315 S Pueblo Blvd
Pueblo, CO 81005
Phone (719) 561-3795

5929 Balcones Dr
Ste 200
Austin, TX 78731
Phone (512) 222-5856

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1003342981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 N ACADEMY BLVD STE 130",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175152",
            "telephone_number": "719-632-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 S WAHSATCH AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809034035",
            "telephone_number": "719-632-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "VI",
        "middle_name": "T",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA.0004927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORA MEDICAL BOARD.",
            "identifier": "PA.0004927",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.