Individual provider · Type 1 NPI

Kim Ngan Pham

Physician Assistant · Tustin, CA

NPI number 1265115406 Active

Practice location

13522 Newport Ave Ste 102
Tustin, CA 92780-3707

Call (714) 987-1121 Map

Fax (551) 236-2481

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XMP0684921 (CA)
Physician Assistant Primary 363A00000X1265115406 (CA)
Physician Assistant 363A00000X67708 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1265115406

Kim Ngan Pham's National Provider Identifier is 1265115406, issued on Aug 14, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Tustin, CA. The record was last updated on Jul 18, 2026.