Thong Pham
Nurse Practitioner, Psych/Mental Health in San Diego, CA. Individual provider (NPI-1).
NPI number1194318436
StatusActive
Last updated in NPPESMar 12, 2026
Details
- NPI
- 1194318436
- Entity type
- Individual (NPI-1)
- Name
- Thong Pham
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 18, 2021
- Certification date
- Mar 12, 2026
- Last updated
- Mar 12, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 95030195 | CA | Yes |
| 163W00000X | Registered Nurse | 95244483 | CA |
Practice location
9855 Erma Rd Ste 133San Diego, CA 92131-1092
Phone 858-343-4572
Mailing address
9855 Erma Rd Ste 133San Diego, CA 92131-1092
Other practice locations
3853 Rosecrans St
San Diego, CA 92110-3115
San Diego, CA 92110-3115
Phone 619-692-8200
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