LOUIS PHAM (FNP-C) – Family Nurse Practitioner, NPI 1235897281

LOUIS PHAM (FNP-C) is a healthcare provider. based in Woodland, California. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 95242868 (CA). The NPI Number for LOUIS PHAM (FNP-C) is 1235897281

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
LOUIS PHAM (FNP-C)
NPI
1235897281
Phone
(530) 576-0771
Address
2081 Bronze Star Dr
Enumeration Date
7 December 2021
Last Update Date
28 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9097932323
Graduation Year
2022 (4 years ago)
PAC ID
9335596436
Group Practice PAC ID
2062546260
Professional Enrollment ID
I20231110002799
Address ID
CA923734870RE255XXBLVD311
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:4State licenses:2Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for LOUIS PHAM (FNP-C)

  • 2081 Bronze Star Dr

    Woodland, CA 957765423

    Phone: (530) 576-0771

    Type: Location

  • 101 8th St Ste 100

    Oakland, CA 946074707

    Phone: (510) 986-6800

    Type: Location

  • 650 University Ave Ste 200

    Sacramento, CA 958256726

    Phone: (916) 571-5200

    Type: Location

  • 3089 JOSHUA TREE CIR

    STOCKTON, CA 952093800

    Phone: (209) 423-8095

    Type: Location

  • 2140 GRAND AVE STE 260

    CHINO HILLS, CA 917096806

    Phone: (909) 464-9800

    Type: Location

  • 9220 HAVEN AVE STE 120

    RANCHO CUCAMONGA, CA 917308551

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 108 Open Payments records for all available years, with a total value of $3,879.

Total Amount is formed as General ($3,879) + Research ($0) + Ownership ($0) = $3,879.

Last reported payment date: 2024-12-21 • Largest payer in this snapshot: Dermavant Sciences, Inc. ($1,086).

Total Amount

$3,879

General + Research + Ownership

Payments

108

Total payment records

General Amount

$3,879

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-11-10

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231110002799INurse PractitionerCATBD

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.

Verify on CMS Revalidation Lookup Tool

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 95776)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062546260View full group profile
NameSpecialtyState
Physician AssistantCA
Nurse PractitionerCA
Nurse PractitionerCA
Physician AssistantCA
Physician AssistantCA
Physician AssistantCA
Physician AssistantCA
Physician AssistantIA
Physician AssistantCA
-CA

Reviews

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Frequently asked questions

Where can patients find LOUIS PHAM (FNP-C)'s NPI?
You can confirm LOUIS PHAM (FNP-C) with NPI 1235897281; it appears in the national provider directory.
Is LOUIS PHAM (FNP-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does LOUIS PHAM (FNP-C) work in?
You can think of LOUIS PHAM (FNP-C) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place LOUIS PHAM (FNP-C)?
The snapshot lists Woodland, California for LOUIS PHAM (FNP-C); download NPPES for the complete set.
Is LOUIS PHAM (FNP-C) a real provider?
This page reflects official NPPES data for NPI 1235897281. Always confirm identity and privileges with the practice and licensing boards.

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