Individual provider Active NPI

Nina Nguyen Pham

  • Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1417699869
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95020179 Issued in CA
Practice address
10737 Camino Ruiz Ste 235
San Diego, CA 92126-2375
Phone
(844) 200-2426
NPI assigned
Apr 7, 2022
Last updated
Sep 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95020179 CA Primary
Family Nurse Practitioner 363LF0000X 95020179 CA

Addresses

Primary practice location

10737 Camino Ruiz Ste 235
San Diego, CA 92126-2375

Mailing address

637 3Rd Ave
Chula Vista, CA 91910-5707
Phone (844) 200-2426

Other practice location 1

9995 Carmel Mountain Rd
San Diego, CA 92129-2889
Phone (844) 200-2426

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220502002290 CA Practitioner - Nurse Practitioner 0143617647 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infusion4Health Nurse Practitioner CurrentSince Mar 2, 2022 Accepting new patients
Operation Samahan, Inc. CurrentSince Sep 27, 2025 Accepting new patients
Scott Parry, M.D., PC Nurse Practitioner Past Accepting new patients
Operation Samahan Inc PastSince Jul 22, 2025 Accepting new patients
Operation Samahan, Inc. Dba Opsam Health PastSince Jun 15, 2025 Accepting new patients

Locations (25 of 28)

1104 Buchanan Rd
Ste B5
Antioch, CA 94509
Phone (925) 757-9012

8339 Brimhall Rd
Ste 1301
Bakersfield, CA 93312

9033 Wilshire Blvd
Ste 401
Beverly Hills, CA 90211
Phone (310) 273-1003

135 S State College Blvd
Ste 350
Brea, CA 92821

625 Citracado Pkwy
Ste 204
Escondido, CA 92025
Phone (760) 294-9255

1125 E Spruce Ave
Ste 201
Fresno, CA 93720
Phone (559) 896-0400

2720 N Harbor Blvd
Ste 200
Fullerton, CA 92835
Phone (714) 449-6900

501 N Central Ave
Glendale, CA 91203
Phone (805) 505-7757

1400 Reynolds Ave
Ste 201202
Irvine, CA 92614

8881 Fletcher Pkwy
Ste 385
La Mesa, CA 91942
Phone (619) 460-0137

79440 Corporate Center Dr
Ste 100
La Quinta, CA 92253

79440 Corporate Center Dr
Ste 101
La Quinta, CA 92253
Phone (760) 777-4067

24012 Calle de la Plata
Ste 230
Laguna Hills, CA 92653
Phone (805) 505-7757

1428 Highland Ave
National City, CA 91950
Phone (619) 245-1707

3300 Webster St
Ste 900
Oakland, CA 94609
Phone (510) 834-3700

6485 Day St
Ste 302
Riverside, CA 92507
Phone (951) 571-2450

333 University Ave
Ste 140
Sacramento, CA 95825
Phone (916) 314-7060

10737 Camino Ruiz
Ste 235
San Diego, CA 92126
Phone (858) 578-4220

4520 Executive Dr
Ste 227
San Diego, CA 92121
Phone (619) 333-3515

9995 Carmel Mountain Rd
Ste B1011
San Diego, CA 92129

24355 Lyons Ave
Ste 211
Santa Clarita, CA 91321
Phone (661) 255-6644

2121 Wilshire Blvd
Ste 303
Santa Monica, CA 90403
Phone (310) 264-1777

5620 Wilbur Ave
Ste 310
Tarzana, CA 91356
Phone (323) 886-3368

27555 Ynez Rd
Ste 370
Temecula, CA 92591
Phone (951) 699-3299

77 Rolling Oaks Dr
Ste 201
Thousand Oaks, CA 91361
Phone (805) 413-9099

Interoperability endpoints

  • Direct secure messaging: nina.pham@opsam.eclinicaldirectplus.com

Organizations & group practices 5

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": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1417699869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 3RD AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105707",
            "telephone_number": "844-200-2426",
            "fax_number": "619-356-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10737 CAMINO RUIZ STE 235",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262375",
            "telephone_number": "844-200-2426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9995 Carmel Mountain Rd",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921292889",
            "country_code": "US",
            "telephone_number": "844-200-2426",
            "fax_number": "858-240-6470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "NINA",
        "middle_name": "NGUYEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-07",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95020179",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95020179",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.