Individual provider Active NPI

Misa Pham, PA-C

  • Physician Assistant
  • Santa Ana, CA
National Provider Identifier
1881429397
Registry record updated Aug 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA66279 Issued in CA
Practice address
2720 S Bristol St Ste 110
Santa Ana, CA 92704-6210
Phone
(888) 499-9303
NPI assigned
Sep 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA66279 CA Primary

Addresses

Primary practice location

2720 S Bristol St Ste 110
Santa Ana, CA 92704-6210

Mailing address

2040 Camfield Ave
Los Angeles, CA 90040-1574
Phone (888) 499-9303

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
I20251217002657 CA Practitioner - Physician Assistant 6002301017 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

425 E Colorado St
Suite 535 a
Glendale, CA 91205-5117

7465 W Lake Mead Blvd
Suite 100
Las Vegas, NV 89128-1033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
66279CAMDPharmacist
PA66279CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Care Medical Group, Inc CurrentSince Feb 4, 2026 Accepting new patients
Mobile Care Medical Group, Inc CurrentSince Feb 4, 2026 Accepting new patients
Doctors on the Go Inc. CurrentSince Nov 1, 2025 Accepting new patients

Locations

1200 E Route 66
Ste 102
Glendora, CA 91740
Phone (213) 567-4520

8439 White Oak Ave
Ste 103
Rancho Cucamonga, CA 91730
Phone (818) 337-6488

3850 Smith St
Unit 3
Union City, CA 94587
Phone (213) 261-4978

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785542400000",
    "number": "1881429397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 CAMFIELD AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900401574",
            "telephone_number": "888-499-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 S BRISTOL ST STE 110",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046210",
            "telephone_number": "888-499-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "MISA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2026-08-01",
        "certification_date": "2026-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA66279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.