TRA V PHAM (MD) – Gynecology Physician, NPI 1073045449
Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,008 OBSTETRICS/GYNECOLOGY in CA
Provider Addresses for TRA V PHAM (MD)
10790 RANCHO BERNARDO RD
SAN DIEGO, CA 921275705
Phone: (858) 882-8350
Type: Mailing
9333 GENESEE AVE
LA JOLLA, CA 92037
Phone: (858) 882-8350
Type: Location
1081 N CHINA LAKE BLVD
RIDGECREST, CA 935553130
Phone:
Type: Mailing
Henry Ford Hospital, 2799, West Grand Boulevard, New Center, Detroit, Wayne County, Michigan, 48202, United States
DETROIT, MI 482022608
Phone:
Type: Mailing
69 JESSE HILL JR DR SE RM 410
ATLANTA, GA 303033033
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $135.
Total Amount is formed as General ($135) + Research ($0) + Ownership ($0) = $135.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: MAYNE PHARMA COMMERCIAL LLC ($120).
Total Amount
$135
General + Research + Ownership
Payments
2
Total payment records
General Amount
$135
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MAYNE PHARMA COMMERCIAL LLC | $120 |
| Hologic Sales and Service, LLC | $15 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-07-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220718000287 | I | Obstetrics/Gynecology | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92127)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OR | |
| Cardiovascular Disease (Cardiology) | OR | |
| Internal Medicine | OR | |
| Family Practice | OR | |
| Diagnostic Radiology | UT | |
| - | OR | |
| - | OR | |
| Clinical Social Worker | OR | |
| Physician Assistant | CO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OR |
Reviews
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