Active NPI
Thien-Huong Michelle Pham
- Psychiatry Physician
- Fontana, CA
National Provider Identifier
1497459457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 346889
- Practice address
- 17234 Valley Blvd
BLDG a
Fontana, CA 92335 - Phone
- (909) 427-5603
- NPI assigned
- Mar 27, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 346889 | LA | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | A207368 | CA |
Addresses
Primary practice location
17234 Valley Blvd
BLDG a
Fontana, CA 92335
Mailing address
2021 Perdido St. 6TH Floor, RM. 6240
New Orleans, LA 70112
Phone (504) 568-7912
Other practice location 1
2021 Perdido St. 6th floor, Rm. 6240
New Orleans, LA 70112
Phone (504) 568-7912
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A207368 | CA | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1497459457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 PERDIDO ST. 6TH FLOOR, RM. 6240",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "70112",
"telephone_number": "504-568-7912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17234 VALLEY BLVD",
"address_2": "BLDG A",
"city": "FONTANA",
"state": "CA",
"postal_code": "92335",
"telephone_number": "909-427-5603"
}
],
"practiceLocations": [
{
"address_1": "2021 Perdido St. 6th floor, Rm. 6240",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "70112",
"country_code": "US",
"telephone_number": "504-568-7912",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHAM",
"first_name": "THIEN-HUONG",
"middle_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-27",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "LA",
"license": "346889",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "A207368",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fontana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.