Johnny Pham, FNP - Medicare Nurse Practitioner in Pomona, CA

  1. Home
  2. Nurse Practitioner
  3. CA
  4. Pomona
Johnny Pham, FNP is a medicare enrolled "Nurse Practitioner - Family" in Pomona, California. His current practice location is 775 E Foothill Blvd, Pomona, California. You can reach out to his office (for appointments etc.) via phone at (909) 621-6708.

Johnny Pham is licensed to practice in California (license number 95020474) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1205578622.

Contact Information

Johnny Pham, FNP
775 E Foothill Blvd,
Pomona, CA 91767-1223
(909) 621-6708
Not Available

Map and Direction




Provider's Profile

Full NameJohnny Pham
GenderMale
SpecialityNurse Practitioner - Family
Location775 E Foothill Blvd, Pomona, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205578622
  • Provider Enumeration Date: 04/07/2022
  • Last Update Date: 09/02/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9234506486
  • Enrollment ID: I20221101002582

Medical Identifiers

Medical identifiers for Johnny Pham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205578622NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95020474 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Johnny Pham allows following entities to bill medicare on his behalf.
Entity NameMinuteclinic Diagnostic Medical Group Of California Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033309372
PECOS PAC ID: 8224191374
Enrollment ID: O20090115000289
Entity NameMinuteclinic Diagnostic Medical Group Of Orange County Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104013879
PECOS PAC ID: 5991868929
Enrollment ID: O20090116000214
Entity NameMinuteclinic Diagnostic Medical Group Of San Diego Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568659233
PECOS PAC ID: 2567520414
Enrollment ID: O20090127000249

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Johnny Pham is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Johnny Pham, FNP
775 E Foothill Blvd,
Pomona, CA 91767-1223

Ph: (909) 621-6708		Johnny Pham, FNP
775 E Foothill Blvd,
Pomona, CA 91767-1223

Ph: (909) 621-6708

Reviews and Comments


Nurse Practitioner Nurses in Pomona, CA

Michael Marinello,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 255 E Bonita Ave, Pomona, CA 91767
Phone: 909-643-2980    
Rohan Bassi, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1866 N Orange Grove Ave Ste 202, Pomona, CA 91767
Phone: 909-623-8796    Fax: 909-623-3076
Patrick Alonzo,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1880 N Orange Grove Ave, Pomona, CA 91767
Phone: 909-623-2100    
Raquel C Rulloda, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1900 Royalty Dr Ste 250, Pomona, CA 91767
Phone: 909-623-6581    
Shellee Reese,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1910 Royalty Dr, Pomona, CA 91767
Phone: 909-865-9901    
Ivy Lien Yin, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1920 N Garey Ave, Pomona, CA 91767
Phone: 909-622-1235    
Lijuan Zhao, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 260 E Holt Ave, Pomona, CA 91767
Phone: 909-629-8088    Fax: 909-629-8755

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.