Ha Le Pham, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

4442 Issued in AZ

Practice address

830 Ainsworth Dr
Prescott, AZ 86301-1630

Phone

(928) 777-5800

Fax

(928) 776-0405

NPI assigned

Oct 5, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 6

Medicare fee-for-service enrollment

Enrolled in AZ

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012

Merit-based Incentive Payment System (MIPS)

Final score

97.45 of 100Reported as group

Promoting interoperability

97

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Gilbert, AZ
  • NPI 1396340162
  Medicare reassignment Care Compare group
• Hpderm

  • Physician Assistant
  • Phoenix, AZ
  • NPI 1831835933
  NPD Authorized official
• Arizona Associates in Dermatology and Cosmetic Surgery, LLC

  • Dermatology Physician
  • Prescott, AZ
  • NPI 1659467397
  NPD
• Forefront Dermatology SC

  • Dermatology Physician
  • Cottonwood, AZ
  • NPI 1568227965
  NPD
• Cancer Treatment Services Arizona LLC

  • Specialist
  • Casa Grande, AZ
  • NPI 1255545703
  NPD (past)
• Center for Dermatology, PLLC

  • Medical Physician Assistant
  • Scottsdale, AZ
  • NPI 1174062673
  NPD (past)
• Squaw Peak Anesthesia Inc

  • Registered Nurse
  • Tempe, AZ
  • NPI 1134352925
  NPD (past)
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Manitowoc, WI
  • NPI 1578515904
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Yavapai Community Hospital Association

  • General Acute Care Hospital
  • Prescott, AZ
  • NPI 1902897820
  Care Compare affiliation

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1366777575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 AINSWORTH DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011630",
            "telephone_number": "928-777-5800",
            "fax_number": "928-776-0405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2135 E ROCKWOOD DR",
            "address_purpose": "LOCATION",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850243064",
            "country_code": "US",
            "telephone_number": "602-222-9111",
            "fax_number": "602-222-9333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 S Candy Ln # 14",
            "address_purpose": "LOCATION",
            "city": "Cottonwood",
            "state": "AZ",
            "postal_code": "863264120",
            "country_code": "US",
            "telephone_number": "928-639-3387",
            "fax_number": "928-776-0405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 Ainsworth Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863011613",
            "country_code": "US",
            "telephone_number": "928-777-5810",
            "fax_number": "928-776-0405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2820 N Glassford Hill Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Prescott Valley",
            "state": "AZ",
            "postal_code": "863142256",
            "country_code": "US",
            "telephone_number": "928-772-8553",
            "fax_number": "928-776-0405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2820 N Glassford Hill Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Prescott Valley",
            "state": "AZ",
            "postal_code": "863142256",
            "country_code": "US",
            "telephone_number": "928-772-8553",
            "fax_number": "928-776-0405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 Ainsworth Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863011613",
            "country_code": "US",
            "telephone_number": "928-777-5800",
            "fax_number": "928-776-0405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "HA",
        "middle_name": "LE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-05",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "4442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9821394",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "541347",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ha.Pham@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "203 S Candy Ln # 14",
            "city": "Cottonwood",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "863264120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ha.Pham@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2820 N Glassford Hill Rd Ste 107",
            "city": "Prescott Valley",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "863142256",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ha.Pham@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2820 N Glassford Hill Rd Ste 103",
            "city": "Prescott Valley",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "863142256",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ha.Pham@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "820 Ainsworth Dr Ste B",
            "city": "Prescott",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "863011613",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ha.Pham@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "830 Ainsworth Dr",
            "city": "Prescott",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "863011630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ha.Pham@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "820 Ainsworth Dr Ste A",
            "city": "Prescott",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "863011613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sharla J. Peterson, OTR
• Spencer Girard Peterson
• Trent M Peterson, DO
• Holly Susan Pfau, PT, DPT
• Paul Christian Pflueger, MD
• Pharx2, PLLC
• Brenda Phillips
• Lisa Phillips, RD
• Rose Steeg Phillips, MA, LMFT
• Phoenix Anesthesia Specialists, LLC

• Physician Assistant in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.