Individual provider Active NPI

Doan Trinh Thuy Pham, DPM

  • Podiatrist
  • Tracy, CA
National Provider Identifier
1235239070
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E4712 Issued in CA
Practice address
1521 Bessie Ave
Tracy, CA 95376-3004
Phone
(209) 835-4276
Fax
(209) 835-1017
NPI assigned
Sep 22, 2006
Last updated
Dec 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E4712 CA Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 661 CO

Addresses

Primary practice location

1521 Bessie Ave
Tracy, CA 95376-3004

Mailing address

1521 Bessie Ave
Tracy, CA 95376-3004
Phone (209) 835-4276

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071015000312 CA Practitioner - Podiatry 0042306565 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
For Feet Sake Podiatry Group, Inc.Group PAC ID 0143246686, 3 clinicians

Practice addresses (Care Compare)

400 Craven Rd
San Marcos, CA 92078-4201
Phone (619) 528-5000

4647 Zion Ave
San Diego, CA 92120-2507
Phone (619) 528-5000

700 W El Norte Pkwy
101 A
Escondido, CA 92026-3923
Phone (760) 546-2220

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4712CAMDAcupuncturist
E4712CAMDPodiatrist
661COMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group CurrentSince Aug 1, 2007 Accepting new patients
Southern California Permanente Medical Group CurrentSince Dec 17, 2014 Accepting new patients
Southern California Permanente Medical Group CurrentSince Dec 17, 2014 Accepting new patients
University of California SFGH Medical Group CurrentSince Aug 1, 2007 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
For Feet Sake Podiatry Group, Inc. Podiatrist CurrentSince Aug 15, 2007 Accepting new patients
Allergy Consultants Medical Group Inc Past Accepting new patients

Locations

2500 Milvia St
Ste 226
Berkeley, CA 94704
Phone (510) 841-5771

700 W El Norte Pkwy
#101A
Escondido, CA 92026
Phone (760) 546-2220

393 E Walnut St
Unit 3RD
Pasadena, CA 91188
Phone (626) 405-7914

4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038

1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753

1001 Potrero Ave
Bldg 53RD
San Francisco, CA 94110
Phone (628) 206-8265

1521 Bessie Ave
Tracy, CA 95376
Phone (209) 835-4276

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766707200000",
    "number": "1235239070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 BESSIE AVE",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763004",
            "telephone_number": "209-835-4276",
            "fax_number": "209-835-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 BESSIE AVE",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763004",
            "telephone_number": "209-835-4276",
            "fax_number": "209-835-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "DOAN TRINH",
        "middle_name": "THUY",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4712",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "661",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4647 Zion Ave",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921202507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

Verify at the official NPI Registry.