LUAN PHAM (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1780751545

LUAN PHAM (DPM) is a healthcare provider. based in Fontana, California. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. E4309 (CA). The NPI Number for LUAN PHAM (DPM) is 1780751545

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
LUAN PHAM (DPM)
NPI
1780751545
Phone
(909) 427-3910
Address
9961 SIERRA AVE
Enumeration Date
29 November 2006
Last Update Date
23 September 2008

Doctor Profile

Medical School Name
CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
8584992600
Graduation Year
1999 (27 years ago)
PAC ID
3375591258
Group Practice PAC ID
8628972759
Professional Enrollment ID
I20050106001057
Address ID
CA921234219SA2020XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,833 PODIATRY in CA

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Provider Addresses for LUAN PHAM (DPM)

  • Kaiser Permanente Fontana Medical Center, 9961, Sierra Avenue, Fontana, San Bernardino County, California, 92335, United States

    FONTANA, CA 923356720

    Phone: (909) 427-3910

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 39 Open Payments records for all available years, with a total value of $3,088.

Total Amount is formed as General ($3,088) + Research ($0) + Ownership ($0) = $3,088.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Paragon 28, Inc. ($1,061).

Total Amount

$3,088

General + Research + Ownership

Payments

39

Total payment records

General Amount

$3,088

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2005-01-06

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
I20050106001057IPodiatryCATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
11721Removal of fingernails or toenails, 6 or more nails238157$0
99212Established patient office or other outpatient visit, 10-19 minutes170115$0
99203New patient office or other outpatient visit, 30-44 minutes8989$0
11042Removal of skin and tissue, 20.0 sq cm or less8512$0
99213Established patient office or other outpatient visit, 20-29 minutes4239$0
View full utilization report →

Insurance plans in this area (ZIP 92335)

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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: 8628972759View full group profile
NameSpecialtyState
Internal MedicineCA
Family PracticeCA
-CA
G A S T R O E N T E R O L O G YCA
Family PracticeCA
Physical Therapist In Private PracticeCA
-CA
Orthopedic Surgery, Sports MedicineNY
Occupational Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

Does LUAN PHAM (DPM) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — LUAN PHAM (DPM) uses 1780751545.
Is LUAN PHAM (DPM) still practicing?
LUAN PHAM (DPM) is currently listed as active in the public NPI registry.
What is LUAN PHAM (DPM)'s primary classification?
Foot & Ankle Surgery Podiatrist is the headline specialty for LUAN PHAM (DPM) here. Clinical services aligned with this taxonomy classification.
Does LUAN PHAM (DPM) list a practice location?
Patients near Fontana, California may find LUAN PHAM (DPM) in results; validate coverage separately.
Why does LUAN PHAM (DPM) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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