Queenie Thuy Pham, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

136 E Walnut Ave
Monrovia, CA 91016-3431

Phone

(818) 450-1188

Fax

(323) 693-1525

NPI assigned

Apr 13, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Thuy Quyen Lam Pham Former name

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harbor Wound Care P CGroup PAC ID 0042704504, 29 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.8 of 100Reported as group

Quality

78.51

Promoting interoperability

100

Improvement activities

40

Cost

70.37

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: qpham111309@cityofhope.direct-ci.com

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.

• Harbor Wound Care P.C.

  • General Practice Physician
  • Banning, CA
  • NPI 1427922392
  Medicare reassignment Care Compare group NPD
• City of Hope Medical Foundation

  dba City of Hope Duarte

  • Hematology & Oncology Physician
  • Duarte, CA
  • NPI 1871886366
  Medicare reassignment NPD
• Professional Wound Specialists PC

  • Surgery Physician
  • Pomona, CA
  • NPI 1437988326
  Medicare reassignment
• Ming-Wei Wu, Inc

  dba Professional Wound Specialists

  • Surgery Physician
  • Las Vegas, NV
  • NPI 1699975144

  CA

  Medicare reassignment

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1184204067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13031 HARBOR BLVD # 1052",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431739",
            "telephone_number": "657-331-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 E WALNUT AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910163431",
            "telephone_number": "818-450-1188",
            "fax_number": "323-693-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "QUEENIE",
        "middle_name": "THUY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-13",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THUY QUYEN",
            "last_name": "PHAM",
            "middle_name": "LAM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelvin Pham
• Leyna Pham
• Michael Pham
• Nadia Pham
• Nhu Pham
• Tan Pham
• Tracy Pham
• Trina Pham
• Branda Phamdo
• Alicia Phan

• Physician Assistant in Monrovia, CA
• Providers in Monrovia, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.