Individual Healthcare Provider
Thanh Trung Pham
Provider's NPPES record last updated: August 16, 2022
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1285247049
- Primary Specialty
- Physician Assistant — Medical
- Practice Location
- San Bernardino, California
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 21, 2026, 2:30 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Physician Assistant
Medical
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363AM0700X
Provider-Reported License Information
- Physician Assistant (California)
- PA59381
Practice Locations
Practice Location
590 N Sierra Way
San Bernardino, California 92410-4817
Phone: (909) 495-3595
Additional Practice Location
9695 Base Line Rd
Rancho Cucamonga, California 91730-1314
Phone: (909) 941-0920
Additional Practice Location
80545 US Highway 111
Indio, California 92201-8367
Phone: (760) 347-9221
Fax: (760) 289-6231
Record Information
- Enumeration Date
- August 30, 2020
- Provider's NPPES Record Last Updated
- August 16, 2022
- Certification Date
- August 16, 2022
- NPISignal NPPES Dataset
- August 2026
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