MEDICARE: DAVID VINH-PHUC PHAM NGUYEN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	A174107	CA

General Provider Information

NPI Number	:	1538656137
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID VINH-PHUC PHAM NGUYEN MD

Provider Business Mailing Address
First Line	:	4890 SUNROAD CENTRUM LN APT 11
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-1857
Country	:	US
Telephone Number	:	619-335-0721
Fax Number	:

Provider Business Practice Location Address
First Line	:	6911 CONVOY CT
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92111-1014
Country	:	US
Telephone Number	:	858-899-3608
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2018
Last Update Date	:	11/21/2022

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1487680112 — DR. KATHERINE HELEN MEKOLIK M.D.
Practice Location Address:

6911 CONVOY CT
SAN DIEGO, CA
92111-1014

Practice Phone: 619-644-6500
Practice Fax:

1497071443 — DR. MARIA REGINA ABESA DELOZIER M.D.
Practice Location Address:

6911 CONVOY CT DEPT OF
SAN DIEGO, CA
92111-1014

Practice Phone: 619-528-5000
Practice Fax:

1295199503 — SHEELA PATEL VYAS MD
Practice Location Address:

6911 CONVOY CT
SAN DIEGO, CA
92111-1014

Practice Phone: 833-574-2273
Practice Fax:

1538629175 — CAROLINE SHANG MD
Practice Location Address:

6911 CONVOY CT
SAN DIEGO, CA
92111-1014

Practice Phone: 833-574-2273
Practice Fax:

1720607112 — KAISER FOUNDATION HEALTH PLAN INC
Practice Location Address:

6911 CONVOY CT FL 1 RM 1501
SAN DIEGO, CA
92111-1014

Practice Phone: 866-385-2632
Practice Fax:

Directions to “ DAVID VINH-PHUC PHAM NGUYEN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.