Individual provider Active NPI

Don Pham, DO

  • General Practice Physician
  • Hesperia, CA
National Provider Identifier
1992184998
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
20A14256 Issued in CA
Practice address
15888 Main St
Hesperia, CA 92345-3452
Phone
(760) 948-2242
NPI assigned
May 22, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X OS13450 FL
General Practice Physician 208D00000X 20A14256 CA Primary

Addresses

Primary practice location

15888 Main St
Hesperia, CA 92345-3452

Mailing address

15888 Main St Ste 112B
Hesperia, CA 92345-3467

Other practice location 1

3402 Griffin Rd
Ft Lauderdale, FL 33312-5564
Phone (786) 530-9998

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180111002175 CA Practitioner - General PracticePractitioner - Family Practice 0749588036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15888 Main St
Suite 112B
Hesperia, CA 92345-3467
Phone (760) 948-2242

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2170ALMDGroup Psychotherapy Psychologist
20A14256CAMDGeneral Practice Physician
OS13450FLMDGeneral Practice Physician
14256CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hesperia Clinica Medica Familiar a Medical Corporation CurrentSince Apr 29, 2020 Accepting new patients
RMJ Medical Inc. PastSince Mar 1, 2022 Accepting new patients
Wexford Health Solutions PLLC General Practice PastSince Aug 1, 2022 Accepting new patients

Locations

15888 Main St
Ste 112B
Hesperia, CA 92345
Phone (760) 947-0727

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: don.pham@326307375480836.direct.elationemr.com

Organizations & group practices 3

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": "1432252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1992184998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15888 MAIN ST STE 112B",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923453467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15888 MAIN ST",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923453452",
            "telephone_number": "760-948-2242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3402 Griffin Rd",
            "address_purpose": "LOCATION",
            "city": "Ft Lauderdale",
            "state": "FL",
            "postal_code": "333125564",
            "country_code": "US",
            "telephone_number": "786-530-9998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "DON",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-22",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS13450",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A14256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hesperia, CA

Sources for this page

Verify at the official NPI Registry.