Individual provider · Type 1 NPI

Ryan Pham

Physician Assistant · Manteca, CA

NPI number 1679244164 Active · reactivated Feb 25, 2025

Practice location

1205 E North St
Manteca, CA 95336-4900

Call (916) 667-1172 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA69136 (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 1679244164

Ryan Pham's National Provider Identifier is 1679244164, issued on Sep 23, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Manteca, CA. The record was last updated on Oct 2, 2026.