Individual provider · Type 1 NPI
Nicole Pham
Foot & Ankle Surgery Podiatrist · Manteca, CA
NPI number
1083289649
Active
Practice location
1140 Norman Dr Ste 1
Manteca, CA 95336-5900
Other practice locations
- 5451 Walnut Ave, Chino, CA 91710-2609 · (909) 464-8600
- 3100 Telegraph Ave, Oakland, CA 94609-3239 · (925) 980-5577
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | E6082 (CA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
Other foot & ankle surgery podiatrist providers in Manteca
About NPI 1083289649
Nicole Pham's National Provider Identifier is 1083289649, issued on May 25, 2021. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Manteca, CA. The record was last updated on Nov 5, 2025.