Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891245122 Individual Practitioner Female Practitioner

Renee Pham , PA

Physician Assistant • Redlands, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Renee Pham, PA is a certified Physician Assistant practicing in Redlands, CA. With approximately 10 years of clinical experience since completing medical education in 2016, Renee Pham delivers high-quality medical care to the local community at 245 TERRACINA BLVD.

Renee Pham is affiliated with Beaver Medical Group P C and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of muscle and/or tissue, 20.0 sq cm or less, replacement of stomach or large bowel tube using fluoroscopic guidance with contrast, accessed through the skin, application of chemical to stop tissue regrowth in wound. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

245 Terracina Blvd

Redlands, CA 923734852

Telephone 9093350201
Associated Practice Facility / Clinic
🏢 Beaver Medical Group P C Facility NPI 1427090281

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Redlands, CA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs -2.1 yrs vs City Avg
City Avg: 12.1 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
71 Specialists

Practicing in Redlands, CA (14617 Statewide)

Telehealth Adoption Rate
14.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
23.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pham (10 Years) 10 Yrs
Redlands Specialty Average (12.1 Years) 12.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
11043 Removal of muscle and/or tissue, 20.0 sq cm or less
92 19 $300.00 $217.45
49450 Replacement of stomach or large bowel tube using fluoroscopic guidance with contrast, accessed through the skin
18 17 $780.00 $660.18
17250 Application of chemical to stop tissue regrowth in wound
12 11 $120.00 $41.37

Medical Specialties & State Licenses

CMS Verified: 2026-01-05
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA 53517

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.

Hospital & Practice Group Affiliations

Beaver Medical Group P C

2 W Fern Ave, Redlands, CA 923735916

Phone: 9097933311

Beaver Medical Group P C

245 Terracina Blvd, Redlands, CA 923734867

Phone: 9097929737

Secondary Practice Locations

2 W Fern Ave

Redlands, CA 923735916

Phone: 9097933311

555 E Tachevah Dr, Ste 2w-203

Palm Springs, CA 922625750

Phone: 7603234272

Practice Associates & Co-Workers

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

5 Associated Practitioners
Adam May , PA

Physician Assistant

NPI 1164853909

Physician Assistant

NPI 1235455122

Doctor of Medicine (M.D.)

Gisselle Genao

Physician Assistant

NPI 1538944384
Jonathan Lee , PA-C

Physician Assistant

NPI 1710652904

Physician Assistant (Certified)

NPI 1760666168

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location January 05, 2026

Registered at 245 TERRACINA BLVD, REDLANDS, CA 923734852 (Tel: 9093350201)

📍
Updated Business Mailing Address January 05, 2026

Registered at PO BOX 35380, LAS VEGAS, NV 891335380 (Tel: 7025793203)

📍
Updated Practice Location September 19, 2019

Registered at 2 W FERN AVE, REDLANDS, CA 923735916 (Tel: 9097933311)

📍
Updated Business Mailing Address September 19, 2019

Registered at PO BOX 10069, SAN BERNARDINO, CA 924230069 (Tel: 9093354188)

👤
Provider Name / Credentials Updated September 19, 2019

Recorded as RENEE PHAM, PA

NPI Profile Active December 08, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 08, 2016

Registered at 555 E TACHEVAH DR, STE 2W-203, PALM SPRINGS, CA 922625750 (Tel: 7603234272)

📍
Updated Business Mailing Address December 08, 2016

Registered at 555 E TACHEVAH DR, STE 2W203, PALM SPRINGS, CA 922625761 (Tel: 7603234272)

👤
Provider Name / Credentials Updated December 08, 2016

Recorded as RENEE PHAM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2016

Physician Assistant (License #53517 in CA)

🟢
Initial NPI Registration & Enumeration October 11, 2016

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: 1891245122
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2016
Last Update: January 05, 2026
Sole Proprietor: Yes

Mailing Address

Po Box 35380

Las Vegas, NV 891335380

Phone: 7025793203

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.