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John Vinh Pham, DO

Family Practice · San Jose

NPI 1326421827

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
17
3 carriers
Office
1

Offices

1 location · Indian Health Center of Santa Clara Valley · 37 clinicians in this group

Looking this up.

Hospitals listed: Santa Clara Valley Medical Center. That is not proof they admit you there this week.

Plans that list them

17 plans · 3 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Pham’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

17 of 17 plans

Plans whose provider directory lists this clinician
Alignment Health BreathEasy (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Clarity (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Harmony (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes Care (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Heart & Diabetes Choice (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Honor+ Plan (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health My Choice CalCare (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Silicon (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health smartHMO (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health the ONE (HMO)Alignment Health PlanListedOct 3, 2026
Blue Shield Inspire (HMO)Blue Shield of CaliforniaListedAug 26, 2026
Central Health Classic Care Plan III (HMO)Central Health Medicare PlanListedAug 15, 2026
Central Health Dual Access Plan (HMO D-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Embrace Choice Plan (HMO C-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Valor Care Plan (HMO)Central Health Medicare PlanListedAug 15, 2026

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
80.6 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Hospitals they work in

1 hospital

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • Santa Clara Valley Medical CenterSan Jose, CAAcute Care Hospital · Government - Local · Has an emergency department · Birthing-friendlyPart of Santa Clara Valley Health and Hospital System, which runs 3 hospitalsPatients rate it 3 of 5 · 70% would definitely recommend it
    Overall rating: 2 of 5 starsWorse than the national rate — SSI - Colon Surgery: 2.572, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.563, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.256, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.369, Oct 2024 – Sep 2025
See every measure and the patient survey for Santa Clara Valley Medical Center

Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 1 worse of 8 measures. Readmissions: 0 better, 10 the same, 1 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Santa Clara Valley Medical Center
SSI - Colon SurgeryInfections2.572WorseOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.563BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.256BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0.369BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.25 (0.3 to 2.2) · 1,535 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.07 (0.76 to 1.38)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths214.59 (167.38 to 261.8) · 108 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.8 · 41 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6 · 141 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.2 · 124 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.3 · 501 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.9 · 653 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.1 · 348 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3 · 4,502 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.24 (0.04 to 0.43) · 9,014 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.34 (0.15 to 0.52) · 9,216 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.54 (2.51 to 6.58) · 1,421 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.54 (0 to 3.2) · 288 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.11 (0.66 to 3.56) · 1,446 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths11.61 (4.09 to 19.14) · 294 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths7.29 (3.39 to 11.2) · 299 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.9 (0.45 to 3.36) · 333 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.23 (0 to 0.78) · 7,538 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths5.4 · 94 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.735No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections2.573No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.6 · 185 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.1 · 951 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits56.3 · 128 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits6.4 · 644 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits1.3 · 699 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.3 · 921 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.7 (3.9 to 8.1) · 226 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.6 (9.4 to 16.5) · 226 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.4 · 94 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits11.4 · 54 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.3 · 242 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.2 (9.9 to 17.4) · 702 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.4) · 195 casesNo differentJan 2024 – Dec 2024

What patients said (4,032 patients answered, 29% of those asked)

Patient survey stars by topic at Santa Clara Valley Medical Center
Cleanliness3
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information2
Overall hospital rating3
Quietness2
Recommend hospital4
Share of patients giving the best answer at Santa Clara Valley Medical Center
Room was "always" clean70%
Nurses "always" communicated well73%
Doctors "always" communicated well76%
Staff "always" explained57%
Yes, staff "did" give patients this information82%
Yes, staff "did" give patients information about help after discharge82%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully74%
Doctors "always" treated them with courtesy and respect82%
Patients who gave a rating of "9" or "10" (high)67%
Staff "always" explained new medications71%
Nurses "always" explained things so they could understand71%
Nurses "always" listened carefully69%
Nurses "always" treated them with courtesy and respect80%
"Always" quiet at night43%
"YES", patients would definitely recommend the hospital70%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms83%

Medicaid work

$232,256 in 2024

Medicaid paid $232,256 for 2,563 billed services this clinician did in 2024, up to 102 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Clinic visit/encounter, all-inclusive943$210,773
Short return visit (20+ min)1,602$21,386
Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use18$97
Medicaid work by year
20242,5633102$232,256
20233,0563117$257,878
20222,4554108$238,632
20214,64811161$259,157
20203,0016111$171,913
2019891675$40,982
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Clinic visit/encounter, all-inclusive1,131$251,298
Short return visit (20+ min)1,873$6,540
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use52$40

2022

Largest Medicaid services in 2022
Clinic visit/encounter, all-inclusive1,036$238,270
Short return visit (20+ min)1,187$342
Short return visit200$20
Return visit (30+ min)32$0

2021

Largest Medicaid services in 2021
Clinic visit/encounter, all-inclusive1,773$259,157
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)114$0
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)12$0
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use31$0
Screening test, pure tone, air only89$0
Bilateral quantitative screening test of visual acuity85$0
New patient visit (30+ min)240$0
New patient visit (45+ min)12$0
Short return visit50$0
Short return visit (20+ min)2,194$0
Return visit (30+ min)48$0

2020

Largest Medicaid services in 2020
Clinic visit/encounter, all-inclusive1,196$171,913
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)23$0
New patient visit (30+ min)176$0
Short return visit45$0
Short return visit (20+ min)1,493$0
Return visit (30+ min)68$0

2019

Largest Medicaid services in 2019
Clinic visit/encounter, all-inclusive287$40,982
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)44$0
Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use16$0
New patient visit (30+ min)116$0
Short return visit (20+ min)410$0
Return visit (30+ min)18$0

Drugs they prescribed that Part D paid

$201,768

Pharmacies billed $201,768 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 1% of their Part D prescriptions (13 of 1,453) in 2024. At or below the middle of the specialty; the typical family practice clinician is at 2%.

1,235 generic and 205 brand-name prescriptions · $201,768 in drug cost · 15 antibiotic prescriptions to 12 people.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Trulicity44$40,980$931
Jardiance23$26,121$1,136
Ozempic16$23,712$1,482
Eliquis18$17,863$992
Atorvastatin128$853$7
See all 33 drugs
Every Part D drug this clinician prescribed
Trulicity44$40,980$931
Jardiance23$26,121$1,136
Ozempic16$23,712$1,482
Eliquis18$17,863$992
Atorvastatin128$853$7
Diclofenac26$788$30
Triamcinolone Acetonide23$734$32
Albuterol Sulfate Hfa22$710$32
Clindamycin Phosphate12$709$59
Gabapentin21$597$28
Metoprolol27$409$15
Omeprazole35$394$11
Amlodipine Besylate94$371$4
Metformin66$343$5
Trazodone40$316$8
Divalproex12$296$25
Losartan56$248$4
Fluticasone Propionate15$206$14
Levothyroxine18$199$11
Tamsulosin23$193$8
Famotidine19$193$10
Carvedilol23$188$8
Alprazolam18$188$10
Lisinopril43$184$4
Glipizide30$168$6
Hydrochlorothiazide34$151$4
Pravastatin13$115$9
Pantoprazole15$94$6
Montelukast31$89$3
Benazepril14$65$5
Metoprolol19$56$3
Lovastatin12$48$4
Furosemide16$43$3

Year by year

Part D prescribing by year
20241,4531491% (13)14%$201,768
20231,4832132% (24)None$229,263
20221,0402121% (14)None$86,633
20211,060165NoneNone$31,373
2020956149NoneNone$36,791
201917773NoneNone$8,633
2018540101NoneNone$32,872
20174661273% (14)None$38,870
201612849None24%$7,729
201525NoneNoneNone$297

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 38 drugs

Part D drugs prescribed in 2023
Rybelsus19$37,330$1,965
Jardiance24$32,725$1,364
Trulicity19$23,950$1,261
Januvia11$18,230$1,657
Eliquis23$15,708$683
Atorvastatin109$2,259$21
Amlodipine Besylate100$1,355$14
Losartan67$1,247$19
Metformin57$1,170$21
Tamsulosin34$1,156$34
Gabapentin46$987$21
Ventolin Hfa11$926$84
Omeprazole42$854$20
Rosuvastatin16$810$51
Diclofenac27$809$30
Clindamycin Phosphate12$768$64
Metoprolol20$625$31
Albuterol Sulfate Hfa13$572$44
Fluticasone Propionate28$495$18
Oxycodone-Acetaminophen11$468$43
Levothyroxine19$460$24
Benazepril15$452$30
Montelukast32$443$14
Famotidine13$399$31
Furosemide34$320$9
Triamcinolone Acetonide18$300$17
Metoprolol20$294$15
Lisinopril41$284$7
Glipizide17$270$16
Pravastatin11$256$23
Trazodone21$256$12
Cromolyn11$189$17
Carvedilol20$186$9
Pantoprazole16$186$12
Finasteride11$163$15
Hydrochlorothiazide21$154$7
Lisinopril-Hydrochlorothiazide13$120$9
Naproxen12$84$7

2022: 22 drugs

Part D drugs prescribed in 2022
Jardiance19$26,666$1,403
Gabapentin62$1,133$18
Albuterol Sulfate Hfa13$930$72
Atorvastatin69$901$13
Amlodipine Besylate108$855$8
Ketoconazole15$777$52
Omeprazole45$739$16
Levocetirizine Dihydrochloride11$627$57
Metformin45$398$9
Losartan37$378$10
Lisinopril39$323$8
Diclofenac18$305$17
Baclofen17$288$17
Metoprolol24$275$11
Famotidine15$224$15
Pantoprazole15$218$15
Fluticasone Propionate19$215$11
Tamsulosin20$211$11
Furosemide31$203$7
Levothyroxine12$198$16
Cyclobenzaprine11$195$18
Ibuprofen17$63$4

2021: 28 drugs

Part D drugs prescribed in 2021
Atorvastatin88$1,120$13
Gabapentin64$984$15
Amlodipine Besylate92$706$8
Levothyroxine40$652$16
Albuterol Sulfate Hfa12$520$43
Losartan40$403$10
Metoprolol30$398$13
Triamcinolone Acetonide21$369$18
Metformin59$357$6
Baclofen16$333$21
Tamsulosin25$323$13
Omeprazole22$264$12
Donepezil12$247$21
Finasteride13$243$19
Allopurinol14$223$16
Fluticasone Propionate15$212$14
Metoprolol29$197$7
Furosemide21$190$9
Lisinopril24$181$8
Fosinopril12$172$14
Simvastatin23$147$6
Zolpidem11$133$12
Metformin Hcl Er12$117$10
Glipizide13$109$8
Atenolol18$96$5
Mupirocin14$80$6
Hydrochlorothiazide11$79$7
Ibuprofen21$62$3

2020: 21 drugs

Part D drugs prescribed in 2020
Lantus11$2,951$268
Levothyroxine49$761$16
Atorvastatin71$694$10
Gabapentin47$629$13
Amlodipine Besylate96$500$5
Losartan40$488$12
Metoprolol20$324$16
Omeprazole27$239$9
Metformin36$232$6
Fluticasone Propionate15$192$13
Trazodone12$168$14
Hydrochlorothiazide18$159$9
Tamsulosin17$155$9
Allopurinol13$136$10
Simvastatin28$124$4
Lisinopril23$124$5
Clopidogrel11$88$8
Metoprolol15$87$6
Glipizide11$74$7
Meloxicam17$58$3
Furosemide17$49$3

2019: 1 drug

Part D drugs prescribed in 2019
Losartan16$99$6

2018: 12 drugs

Part D drugs prescribed in 2018
Advair Diskus15$5,935$396
Omeprazole20$316$16
Gabapentin19$306$16
Rosuvastatin13$306$24
Montelukast14$209$15
Pantoprazole21$180$9
Atorvastatin12$163$14
Simvastatin25$142$6
Sertraline17$142$8
Lisinopril35$129$4
Metformin15$98$7
Amlodipine Besylate12$95$8

2017: 13 drugs

Part D drugs prescribed in 2017
Spiriva11$4,189$381
Advair Diskus11$3,992$363
Gabapentin18$366$20
Doxycycline Hyclate11$298$27
Levothyroxine11$263$24
Omeprazole17$232$14
Amlodipine Besylate20$168$8
Metoprolol14$92$7
Pioglitazone11$80$7
Losartan13$71$5
Tramadol12$62$5
Lisinopril21$57$3
Prednisone18$52$3

Money from drug and device companies

$21 in 2024

Industry payments by year
202411None$21
202211None$13

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
AlkermesAristada$21
1 payment
  • Meals for Aristada · 2024-09-17 · $21
See the published payment
Every published payment
AlkermesMeals · 2024-09-17Aristada$21
See earlier years (2022)

2022: $13

Payments by company in 2022
GlaxoSmithKlineTrelegy Ellipta$13
1 payment
  • Meals for Trelegy Ellipta · 2022-10-14 · $13

Professional record

NPI
1326421827
Licence
CA 20A17004
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Family medicine (207Q00000X)
Mailing address
1642 E Capitol Expy, San Jose, CA, 95121
NPI first listed
2015-07-01
NPI last updated
2025-06-05
NPI record certified
2025-06-05

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 1333 Meridian Ave, San Jose, CA, 95125 · 2039 Forest Ave Ste 105, San Jose, CA, 95128 · 455 Oconnor Dr, San Jose, CA, 95128