Individual provider Active NPI

By Pham, M.D.

  • Family Medicine Physician
  • Yakima, WA
National Provider Identifier
1407821663
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00041414 Issued in WA
Practice address
110 S 9TH Ave
Yakima, WA 98902-3315
Phone
(509) 454-6194
Fax
(509) 454-6187
NPI assigned
Feb 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X MD00041414 WA
Family Medicine Physician 207Q00000X MD00041414 WA Primary

Addresses

Primary practice location

110 S 9TH Ave
Yakima, WA 98902-3315

Mailing address

732 Summitview Ave
#621
Yakima, WA 98902-3032
Phone (509) 573-3448

Other practice location 1

402 S 12th Ave
Yakima, WA 98902-3115
Phone (509) 574-6139

Other identifiers 2

IdentifierTypeStateIssuer
1009597MedicaidWA
8370546MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR, MN, WY4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20040608000078 WA Practitioner - Family PracticePractitioner - Emergency Medicine 9830172360 Reassigns benefits to 5 organizations
I20150902000711 OR Practitioner - Family Practice 9830172360 Reassigns benefits to 3 organizations
I20170619001847 MN Practitioner - Emergency MedicinePractitioner - Family Practice 9830172360 Reassigns benefits to 4 organizations
I20260501002958 WY Practitioner - Family Practice 9830172360 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health of Central WashingtonGroup PAC ID 4183536931, shared by 7 NPIs, 77 clinicians

Practice addresses (Care Compare)

501 S 5TH Ave
Yakima, WA 98902-3550

Hospital & facility affiliations

  • Memorial Hospital of Carbon County Hospital, Rawlins, WY, CCN 531316
  • Yakima Valley Memorial Hospital, Yakima, WA, CCN 500036
  • Astria Toppenish Hospital Hospital, Toppenish, WA, CCN 500037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00041414WAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Urgent Care PLLC CurrentSince Jul 22, 2025 Accepting new patients
Unity Family Healthcare CurrentSince Apr 4, 2019 Accepting new patients
Sound Physicians Emergency Medicine of Washington PLLC CurrentSince Jul 15, 2022 Accepting new patients
Samaritan North Lincoln Hospital Current Accepting new patients
Unity Family Healthcare Current Accepting new patients
Unity Family Healthcare Current Accepting new patients
Deer River Healthcare Center, Inc. Current Accepting new patients
Community Health of Central Washington Family Medicine CurrentSince Jun 1, 2025 Accepting new patients
Northwest Emergency Physicians LLC CurrentSince Feb 1, 2022 Accepting new patients
Unity Family Healthcare CurrentSince Apr 4, 2019 Accepting new patients
Western Healthcare Services Texas CurrentSince Jul 1, 2022 Accepting new patients
Community Health of Central Washington CurrentSince Jun 1, 2025 Accepting new patients
Pacific County Hospital District 2 CurrentSince Oct 18, 2021 Accepting new patients
Olney Emergency Group, a Professional LLC CurrentSince Mar 25, 2022 Accepting new patients
Pacific County Hospital District 2 Family Medicine CurrentSince Oct 18, 2021 Accepting new patients
Public Hospital District No 4 King County Washington Past Accepting new patients
Yakima Emergency Group a Professional Limited Liability Com Past Accepting new patients
Pacific Palisades Podiatry PLLC Past Accepting new patients
Public Hospital District No 4, King County Wa Family Medicine Past Accepting new patients
Bourget Health Services Inc Past Accepting new patients
Yakima Hma Physician Management LLC Family Medicine Past Accepting new patients
Public Hospital District No. 4, King County Washington Past Accepting new patients
Public Hospital District 1 of King County Past Accepting new patients

Locations

7892 Solutions Ctr
Chicago, IL 60677

115 10th Ave NE
#A
Deer River, MN 56636
Phone (218) 246-8275

115 10th Ave NE
Deer River, MN 56636
Phone (218) 246-2900

815 2nd St SE
Little Falls, MN 56345
Phone (320) 632-5441

12643 Fremont Ave
Zimmerman, MN 55398
Phone (218) 838-9355

1046 6th Ave SW
Albany, OR 97321
Phone (541) 812-4000

94220 4th St
Gold Beach, OR 97444
Phone (541) 247-3000

3043 NE 28th St
Lincoln City, OR 97367
Phone (541) 994-3661

915 Anderson Dr
Aberdeen, WA 98520
Phone (360) 532-8330

914 S Scheuber Rd
Centralia, WA 98531
Phone (360) 330-8516

520 N 4th Ave
Pasco, WA 99301
Phone (509) 544-6140

939 Caroline St
Port Angeles, WA 98362
Phone (360) 417-7315

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

502 W 4th Ave
Toppenish, WA 98948
Phone (509) 575-5000

402 S 12th Ave
Ste A
Yakima, WA 98902

402 S 12th Ave
Bsmt
Yakima, WA 98902

501 S 5th Ave
Yakima, WA 98902
Phone (509) 494-6700

402 S 12th Ave
Yakima, WA 98902
Phone (509) 248-3263

1806 W Lincoln Ave
Yakima, WA 98902
Phone (509) 452-4520

12 S 8th St
Yakima, WA 98901

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1407821663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 SUMMITVIEW AVE",
            "address_2": "#621",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023032",
            "telephone_number": "509-573-3448",
            "fax_number": "509-574-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S 9TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023315",
            "telephone_number": "509-454-6194",
            "fax_number": "509-454-6187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 S 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989023115",
            "country_code": "US",
            "telephone_number": "509-574-6139",
            "fax_number": "509-452-5224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "BY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WA",
            "license": "MD00041414",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00041414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009597",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8370546",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.