Thi Kim Loan Pham, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A60749 Issued in CA

Practice address

79440 Corporate Center Dr Ste 117
Ste 117
La Quinta, CA 92253-7244

Phone

(760) 863-0138

Fax

(760) 863-0471

NPI assigned

Jun 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Desert Regional Medical Center Hospital, Palm Springs, CA, CCN 050243
• John F Kennedy Memorial Hospital Hospital, Indio, CA, CCN 050534

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
• Direct secure messaging: thi.pham.p69@direct.mydohc.nextgenshare.com
• Direct secure messaging: thi.pham.p47@direct.mydohc.nextgenshare.com

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.

• Fountain Valley Group Services PC

  • Hospitalist Physician
  • Indio, CA
  • NPI 1013310309
  Medicare reassignment NPD
• T K Loan Pham MD Inc

  • Internal Medicine Physician
  • La Quinta, CA
  • NPI 1457597411
  Medicare reassignment
• Desert Group Services, PC

  • Hospitalist Physician
  • Joshua Tree, CA
  • NPI 1891240602
  NPD (past)
• Fountain Valley Group Services PC

  • Critical Care Medicine (Internal Medicine) Physician
  • Indio, CA
  • NPI 1194670349
  NPD (past)

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

• Desert Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Palm Springs, CA
  • NPI 1104856095
  Care Compare affiliation
• JFK Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Indio, CA
  • NPI 1477584993
  Care Compare affiliation

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229904000000",
    "number": "1649217217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79440 CORPORATE CENTER DR STE 117",
            "address_2": "STE 117",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922537244",
            "telephone_number": "760-863-0138",
            "fax_number": "760-863-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79440 CORPORATE CENTER DR STE 117",
            "address_2": "STE 117",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922537244",
            "telephone_number": "760-863-0138",
            "fax_number": "760-863-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "THI KIM",
        "middle_name": "LOAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2008-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A60749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J. Chris Peters, D.C.
• Renee Petersen
• Sarah J Peterson
• Robert D Petrie, MD
• Dennis H Pham, DDS
• Evelyn S Picker, M.D.
• Donna Kay Pillow, LMFT
• Roy Macbeth Pitkin, M.D.
• Morris D Platt, MD
• Daniela M Preciado

• Internal Medicine Physician in La Quinta, CA
• Providers in La Quinta, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2008; 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.