Kevin Pham

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

164130 Issued in CA

Practice address

99 C St Ste 207
Upland, CA 91786-8305

Phone

(442) 229-6296

NPI assigned

Mar 20, 2019

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

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  • NPI 1861729238

  Behavior Technician

  NPD (past)
• Love 2 Learn Therapies Inc

  • Speech-Language Pathologist
  • Huntington Beach, CA
  • NPI 1821430182

  Marriage & Family Therapist

  NPD (past)

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1770043481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 W RED FOX RD",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927047159",
            "telephone_number": "323-515-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 C ST STE 207",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917868305",
            "telephone_number": "442-229-6296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "KEVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-20",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "164130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nyshae Perkins
• Lynne Ellen Perry, PHD
• Personal Care Transportation LLC
• Personal Care Transportation LLC
• M Cristina Petit, D.M.D.
• Louis Pham, FNP-C
• Stace Renee Pham, PHARM D
• Thu Quynh Anh Pham, PHARMD
• Tina-Vanthi Thi Pham
• Cecilia Phong, MD

• Marriage & Family Therapist in Upland, CA
• Providers in Upland, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.