Louis Pham, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95024357 Issued in CA

Practice address

585 N Mountain Ave Ste a
Upland, CA 91786-8516

Phone

(909) 500-4574

NPI assigned

Dec 7, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pacific Dermatology InstituteGroup PAC ID 2062546260, 32 clinicians

Sand Dermatology PCGroup PAC ID 3274960752, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Pacific Dermatology Institute

  • Dermatology Physician
  • Corona, CA
  • NPI 1740410182
  Medicare reassignment Care Compare group NPD
• Sand Dermatology PC

  • Dermatology Physician
  • Chino Hills, CA
  • NPI 1558918441
  Medicare reassignment Care Compare group NPD (past)
• Advanced Dermatology & Cosmetics Laser Care a Medical Corporation

  • Specialist
  • Valencia, CA
  • NPI 1912026097
  NPD (past)
• Medical Dermatology & Cosmetic Clinic of Northern California

  • Dermatology Physician
  • Sacramento, CA
  • NPI 1083120992
  NPD (past)

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1235897281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 HAVEN AVE STE 120",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917308551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 N MOUNTAIN AVE STE A",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917868516",
            "telephone_number": "909-500-4574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3110 Chino Ave Ste 120",
            "address_purpose": "LOCATION",
            "city": "Chino Hills",
            "state": "CA",
            "postal_code": "917091294",
            "country_code": "US",
            "telephone_number": "909-313-5111",
            "fax_number": "909-313-0959",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9220 Haven Ave Ste 120",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917308551",
            "country_code": "US",
            "telephone_number": "909-819-1930",
            "fax_number": "909-819-1930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "770 Magnolia Ave Ste 1H",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928793121",
            "country_code": "US",
            "telephone_number": "951-470-2542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1122 E Lincoln Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928651908",
            "country_code": "US",
            "telephone_number": "714-987-9880",
            "fax_number": "714-709-8998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2140 Grand Ave Ste 260",
            "address_purpose": "LOCATION",
            "city": "Chino Hills",
            "state": "CA",
            "postal_code": "917096806",
            "country_code": "US",
            "telephone_number": "909-464-9800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "LOUIS",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-07",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95242868",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95024357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynne Ellen Perry, PHD
• Personal Care Transportation LLC
• Personal Care Transportation LLC
• M Cristina Petit, D.M.D.
• Kevin Pham
• Stace Renee Pham, PHARM D
• Thu Quynh Anh Pham, PHARMD
• Tina-Vanthi Thi Pham
• Cecilia Phong, MD
• Katelin Phong

• Family Nurse Practitioner in Upland, CA
• Providers in Upland, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.