Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609673623 Individual Practitioner

Kimberly Pham , PA-C

Physician Assistant • Glendora, CA

Professional Overview & Biography Verified Profile Summary

Kimberly Pham, PA-C is a certified Physician Assistant practicing in Glendora, CA. With approximately 2 years of clinical experience since graduating from University Of Southern California Keck School Of Medicine in 2024, Kimberly Pham delivers high-quality medical care to the local community at 640 W FOOTHILL BLVD STE 100.

Kimberly Pham does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

640 W Foothill Blvd Ste 100

Glendora, CA 917412456

Telephone 6263354041
Fax 6263353768
Associated Practice Facility / Clinic
🏢 Ibrahim Hanna, M.d., Inc. Facility NPI 1922316751

Medicare Profile & Education

Medical School

University Of Southern California Keck School Of Medicine

Graduation Year

2024

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Glendora, CA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -6.2 yrs vs City Avg
City Avg: 8.2 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
21 Specialists

Practicing in Glendora, CA (14617 Statewide)

Telehealth Adoption Rate
9.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pham (2 Years) 2 Yrs
Glendora Specialty Average (8.2 Years) 8.2 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-03-10
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA PA65729

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1235378613

Physician Assistant (Certified)

Dr. Ibrahim Hanna , MD

Internal Medicine

NPI 1407898653

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 03, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location March 03, 2025

Registered at 640 W FOOTHILL BLVD STE 100, GLENDORA, CA 917412456 (Tel: 6263354041)

📍
Updated Business Mailing Address March 03, 2025

Registered at 640 W FOOTHILL BLVD STE 100, GLENDORA, CA 917412456

👤
Provider Name / Credentials Updated March 03, 2025

Recorded as KIMBERLY PHAM, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2025

Physician Assistant (License #PA65729 in CA)

🟢
Initial NPI Registration & Enumeration February 27, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609673623
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 27, 2025
Last Update: March 10, 2025
Sole Proprietor: No

Mailing Address

640 W Foothill Blvd Ste 100

Glendora, CA 917412456

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.