Individual provider Active NPI

Truc T Pham, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Spokane Valley, WA
National Provider Identifier
1932237096
Registry record updated Dec 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
A87040 Issued in CA
Practice address
13103 E Mansfield Ave
Incyte Diagnostics
Spokane Valley, WA 99216-1642
Phone
(509) 892-2700
Fax
(509) 892-2740
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Pathology) Physician 207ZH0000X A87040 CA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A87040 CA Primary

Addresses

Primary practice location

13103 E Mansfield Ave
Incyte Diagnostics
Spokane Valley, WA 99216-1642

Mailing address

13103 E Mansfield Ave
Incyte Diagnostics
Spokane Valley, WA 99216-1642
Phone (509) 892-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20070711000663 WA Practitioner - Pathology 6709986375 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of California, San Diego School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cellnetix Pathology PLLCGroup PAC ID 8224062971, 58 clinicians

Practice addresses (Care Compare)

1229 Madison St
Suite 820
Seattle, WA 98104-3539
Phone (206) 576-6094

12606 E Mission Ave
Spokane Valley, WA 99216-3421
Phone (509) 473-5000

1321 Colby Ave
Everett, WA 98201-1665
Phone (425) 261-2000

202 N Division St
Auburn, WA 98001-4939
Phone (253) 545-2440

315 Martin Luther King Jr Way
Ms 315 P4 Lab
Tacoma, WA 98405-4234
Phone (253) 403-4573

3900 Capital Mall Dr SW
Olympia, WA 98502-8654
Phone (360) 754-5858

401 15TH Ave SE
Puyallup, WA 98372-3715
Phone (253) 403-4573

500 17TH Ave
Seattle, WA 98122-5711
Phone (206) 320-2000

747 Broadway
Seattle, WA 98122-4379
Phone (206) 386-6000

751 NE Blakely Dr
Issaquah, WA 98029-6201
Phone (425) 313-4000

800 W 5TH Ave
Spokane, WA 98204-2803
Phone (509) 458-5800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A87040CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince May 8, 2024 Accepting new patients
Cellnetix Pathology, PLLC Anatomic Pathology & Clinical Pathology CurrentSince Apr 15, 2024 Accepting new patients
Multicare Health System Current Accepting new patients
Cellnetix Pathology, PLLC Hematology Current Accepting new patients
Multicare Health System CurrentSince May 8, 2024 Accepting new patients
Cellnetix Pathology, PLLC Hematology CurrentSince Apr 15, 2024 Accepting new patients

Locations

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800

Interoperability endpoints

  • Direct secure messaging: tpham627495@direct.multicare.org

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418342400000",
    "number": "1932237096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13103 E MANSFIELD AVE",
            "address_2": "INCYTE DIAGNOSTICS",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161642",
            "telephone_number": "509-892-2700",
            "fax_number": "509-892-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13103 E MANSFIELD AVE",
            "address_2": "INCYTE DIAGNOSTICS",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161642",
            "telephone_number": "509-892-2700",
            "fax_number": "509-892-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "TRUC",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2014-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "CA",
            "license": "A87040",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A87040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.