Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE PHAM
Active Sole ProprietorNICOLE PHAM is a Foot & Ankle Surgery Podiatrist healthcare provider located in MANTECA, California. NPI 1083289649 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · MANTECA, CA
Registration Details
- NPI Number
- 1083289649
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 25, 2021 (5.2683969030672 yrs)
- Last Updated
- Nov 5, 2025
- License
-
E6082 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1140 NORMAN DR STE 1MANTECA, CA, 953365900Browse CA providers · Browse ZIP 95336
- Phone
- 2098232700
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
- Additional Specialty
- Student (Health Education/Training)
Other Foot & Ankle Surgery Podiatrist Providers in MANTECA, CA
| Name | Credential | NPI |
|---|---|---|
| JACK ANDREW HARVEY | D.P.M | 1033475678 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.