NPIMap

Individual provider Active NPI

Jeffrey Pham

  • Emergency Medicine Physician
  • Henderson, NV
National Provider Identifier
1750840070
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DO3700 Issued in NV
Practice address
3001 Saint Rose Pkwy
Henderson, NV 89052-3839
Phone
(559) 450-3500
NPI assigned
Mar 16, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X DO3700 NV Primary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X 20A20724 CA

Addresses

Primary practice location

3001 Saint Rose Pkwy
Henderson, NV 89052-3839

Mailing address

3001 Saint Rose Pkwy
Henderson, NV 89052-3839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240410003589 CA Practitioner - Emergency Medicine 7012364631 Reassigns benefits to 2 organizations
I20240808000184 NV Practitioner - Emergency Medicine 7012364631 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Nova Southeastern College of Osteo Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Nevada LLCGroup PAC ID 7012137037, 106 clinicians

Practice addresses (Care Compare)

7424 S Rainbow Blvd
Suite a
Las Vegas, NV 89139-6309
Phone (702) 464-3213

Hospital & facility affiliations

  • Saint Rose Dominican Hospitals - Siena Campus Hospital, Henderson, NV, CCN 290045
  • Saint Rose Dominican Hospitals - North Las Vegas Hospital, North Las Vegas, NV, CCN 290058
  • Saint Rose Dominican Hospitals - Rose de Lima Hospital, Henderson, NV, CCN 290012
  • Henderson Hospital Hospital, Henderson, NV, CCN 290057
  • Saint Rose Dominican Hospitals - San Martin Campus Hospital, Las Vegas, NV, CCN 290053

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20724CAMDMental Health Counselor
20A20724CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vituity-Nevada Medical Services Koury & Partners PC Emergency Medicine CurrentSince Jul 10, 2024 Accepting new patients
Cep America - California Single Specialty Current Accepting new patients
Shadow Emergency Physicians PLLC Single Specialty Current Accepting new patients
Cep America-California Emergency Medicine CurrentSince Apr 1, 2024 Accepting new patients
Vituity-Nevada Medical Services Koury & Partners PC Emergency Medicine CurrentSince Jul 10, 2024 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Apr 1, 2024 Accepting new patients
Vituity-Nevada Medical Services Koury & Partners PC Single Specialty Current Accepting new patients
Urgent Care Nevada, LLC Single Specialty CurrentSince Oct 15, 2025 Accepting new patients
Shadow Emergency Physicians PLLC Emergency Medicine CurrentSince Aug 12, 2024 Accepting new patients
Cep America - California Single Specialty Current Accepting new patients
Cep America - California Emergency Medicine CurrentSince Apr 1, 2024 Accepting new patients
Shadow Emergency Physicians PLLC Emergency Medicine CurrentSince Aug 12, 2024 Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

1141 Rose Ave
Selma, CA 93662
Phone (559) 790-2800

3001 Saint Rose Pkwy
Henderson, NV 89052
Phone (702) 615-5000

620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506

7424 S Rainbow Blvd
Ste A
Las Vegas, NV 89139
Phone (702) 464-3213

4980 W Sahara Ave
Ste 100
Las Vegas, NV 89146
Phone (702) 216-7365

2202 W Craig Rd
North Las Vegas, NV 89032
Phone (702) 826-3200

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 13

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 13

Hospital & facility affiliations 11

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": "1552694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1750840070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 SAINT ROSE PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 SAINT ROSE PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523839",
            "telephone_number": "559-450-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "JEFFREY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-16",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "DO3700",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "20A20724",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.