Individual provider · Type 1 NPI

Thong Pham

Psychiatric/Mental Health Nurse Practitioner · San Diego, CA

NPI number 1194318436 Active

Practice location

9855 Erma Rd Ste 133
San Diego, CA 92131-1092

Other practice locations

  • 3853 Rosecrans St, San Diego, CA 92110-3115 · (619) 692-8200

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X95244483 (CA)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X95030195 (CA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1194318436

Thong Pham's National Provider Identifier is 1194318436, issued on Feb 18, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in San Diego, CA. The record was last updated on Mar 12, 2026.