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Jonathan Nguyen-Khoi Pham, OD

Optometry · Fremont

NPI 1750045720

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
3
2 carriers
Offices
2

Offices

2 locations · Bay Area Community Health · 106 clinicians in this group

Looking this up.

Plans that list them

3 plans · 2 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.

3 of 3 plans

Plans whose provider directory lists this clinician
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026
Anthem Prime (HMO-POS)Anthem Blue Cross Partnership PlanListedOct 3, 2026

California Medical Board record

Licence A39474 · Current

Licensed to practise in California · since 1983 · expires 2028-09-30 · Autonomous University of Guadalajara Faculty of Medicine.

Matched on the licence number without its letter prefix; check the name before relying on it.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Medicaid work

$341,368 in 2024

Medicaid paid $341,368 for 4,014 billed services this clinician did in 2024, up to 89 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-inclusive1,425$331,669
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST626$5,358
Return visit (30+ min)520$1,997
Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient250$1,152
Short return visit (20+ min)486$1,128
DETERMINATION REFRACTIVE STATE606$64
Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; optic nerve88$0
Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; retina13$0
Medicaid work by year
20244,014889$341,368
20233,71610106$349,898
20221,408675$137,924
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Clinic visit/encounter, all-inclusive1,510$339,254
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST301$4,679
Return visit (30+ min)511$2,839
Short return visit (20+ min)524$2,017
Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient285$594
Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the central 30°, or quantitative, automated threshold perimetry, Octopus program G-1, 32 or 42, Humphrey visual field analyzer full threshold programs 30-2, 24-2, or 30/60-2)27$427
DETERMINATION REFRACTIVE STATE519$87
Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; optic nerve13$0
Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), posterior segment, with interpretation and report, unilateral or bilateral; retina14$0
FUNDUS PHOTOGRAPHY W/INTERPRETATION & REPORT12$0

2022

Largest Medicaid services in 2022
Clinic visit/encounter, all-inclusive618$136,662
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST207$835
Short return visit (20+ min)208$250
Return visit (30+ min)95$141
Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient29$37
DETERMINATION REFRACTIVE STATE251$0

Drugs they prescribed that Part D paid

$16,808

Pharmacies billed $16,808 in 2024.

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

Opioids were 0% of their Part D prescriptions (0 of 212) in 2024. At or below the middle of the specialty; the typical optometry clinician is at 0%.

94 generic and 118 brand-name prescriptions · $16,808 in drug cost.

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
Cyclosporine20$5,903$295
Latanoprost111$588$5
Dorzolamide-Timolol16$186$12
Brimonidine14$92$7
Timolol Maleate17$90$5

Year by year

Part D prescribing by year
2024212450% (0)56%$16,808
202399230% (0)37%$3,203

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

See the drugs prescribed each year

2023: 2 drugs

Part D drugs prescribed in 2023
Latanoprost49$624$13
Dorzolamide-Timolol11$128$12

Money from drug and device companies

$25 in 2025

Industry payments by year
202511None$25
202322None$245
202211None$81

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
Regeneron Healthcare SolutionsDupixent$25
1 payment
  • Meals for Dupixent · 2025-09-16 · $25
See the published payment
Every published payment
Regeneron Healthcare SolutionsMeals · 2025-09-16Dupixent$25
See earlier years (2023, 2022)

2023: $245

Payments by company in 2023
Bausch & Lomb AmericasInfuse$123
1 payment
  • Meals for Infuse · 2023-06-29 · $123
Genentech USAVabysmo$122
1 payment
  • Meals for Vabysmo · 2023-05-22 · $122

2022: $81

Payments by company in 2022
CooperVisionMultiple Brands Contact Lens$81
1 payment
  • Meals for Multiple Brands Contact Lens · 2022-09-29 · $81

Professional record

NPI
1750045720
Licence
CA 39474California A39474: Current · expires 2028-09-30
Trained
State University of New York - State College Optometry, 2021
Gender
Male
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 152WL0500X (152WL0500X)
Mailing address
3333 Clement St Apt 5, San Francisco, CA, 94121
NPI first listed
2021-10-26
NPI last updated
2021-10-26
NPI record certified
2021-09-24

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

This office lists an electronic records connection.