Individual provider

Phuong Pham, PMHNP

Psychiatric/Mental Health Nurse Practitioner Medicare enrolled

Phuong Pham, PMHNP is a Psychiatric/Mental Health Nurse Practitioner in San Diego, CA, registered under NPI 1700200664.

Getting there

The practice address on file is 15373 INNOVATION DR STE 390, San Diego, CA 92128. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

15373 INNOVATION DR STE 390, San Diego, CA 92128 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
NP95019215 CA Psychiatric/Mental Health Nurse… primary

This provider holds licence NP95019215 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
3779975115

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Psychiatric/Mental Health covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LP0808X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Psychiatric/Mental Health

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1700200664 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateFeb 13, 2014
Last updatedMay 1, 2026
StatusActive
Sole proprietorNo
CredentialPMHNP
Practice address 15373 INNOVATION DR STE 390
San Diego, CA 92128
(855) 501-1004
Mailing address 3835 N FREEWAY BLVD STE 100
Sacramento, CA 95834
This record was updated on May 1, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1700200664 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 7 0 0 2 0 0 6 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 7 0 0 4 0 0 6 3

Sum = 46 · next multiple of 10 = 50 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1700200664?
NPI 1700200664 is the National Provider Identifier assigned to Phuong Pham, PMHNP in San Diego, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Psychiatric/Mental Health cover?
Definition to come...
How do I contact Phuong Pham, PMHNP?
The phone number on file with NPPES is (855) 501-1004, last updated May 1, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Phuong Pham, PMHNP accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1700200664 a valid number?
Yes. 1700200664 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.