Active NPI
By Pham, M.D.
- Family Medicine Physician
- Yakima, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00041414
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1009597 | Medicaid | WA | |
| 8370546 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR, MN, WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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 Washington
Practice addresses (Care Compare)
501 S 5TH Ave
Yakima, WA 98902-3550
Hospital & facility affiliations
- Memorial Hospital of Carbon County
- Yakima Valley Memorial
- Astria Toppenish Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00041414 | WA | MD | Hospitalist Physician |
Practice roles
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.
-
- Federally Qualified Health Center (FQHC)
- Yakima, WA
- NPI 1598764920
Family Medicine
-
- Emergency Medicine Physician
- Toppenish, WA
- NPI 1386108868
-
- Critical Access Hospital
- South Bend, WA
- NPI 1295708683
-
- Emergency Medicine Physician
- Sedro Woolley, WA
- NPI 1629532064
-
- Critical Access Hospital
- Deer River, MN
- NPI 1225049018
-
- Critical Access Hospital
- Lincoln City, OR
- NPI 1306897491
-
- Orthopaedic Surgery Physician
- Little Falls, MN
- NPI 1326234006
-
- Critical Access Hospital
- Little Falls, MN
- NPI 1780630939
-
- Emergency Medicine Physician
- Gold Beach, OR
- NPI 1336878024
-
- Family Medicine Physician
- Rawlins, WY
- NPI 1508900341
-
- Critical Access Hospital
- Rawlins, WY
- NPI 1710298757
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Toppenish, WA
- NPI 1851817308
-
- General Acute Care Hospital
- Yakima, WA
- NPI 1053373480
-
- Critical Access Hospital
- Rawlins, WY
- NPI 1710298757
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.