Tammy Pham, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

105622 Issued in CA

Practice address

4986 Watt Ave Ste D
North Highlands, CA 95660-5182

Phone

(916) 642-1867

Fax

(844) 491-6066

NPI assigned

Oct 21, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Health and Life Organization, Inc

  • Federally Qualified Health Center (FQHC)
  • Sacramento, CA
  • NPI 1144600248
  NPD (past)
• Health and Life Organization, Inc

  • General Practice Dentistry
  • Sacramento, CA
  • NPI 1306198296
  NPD (past)
• Health and Life Organization, Inc.

  • Federally Qualified Health Center (FQHC)
  • Sacramento, CA
  • NPI 1427715515

  Dentist

  NPD (past)
• Health and Life Organization, Inc.

  • Federally Qualified Health Center (FQHC)
  • Sacramento, CA
  • NPI 1427808310

  Dentist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1003415951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16584 MOUNT SHELLY CIR",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082440",
            "telephone_number": "714-706-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4986 WATT AVE STE D",
            "city": "NORTH HIGHLANDS",
            "state": "CA",
            "postal_code": "956605182",
            "telephone_number": "916-642-1867",
            "fax_number": "844-491-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "TAMMY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "105622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Padaca
• Panacea Services, Inc.
• Ujjval Harishbhai Pandya, DDS
• Traci Aileen Papoff
• Natasha Tomasina Paterson, PPS
• Allyn Pharo, MFT INTERN W MA
• Planned Parenthood Mar Monte, Inc
• Cynthia Pon
• Renae M Provost
• Psynergy Programs, Inc.

• Dentist in North Highlands, CA
• Providers in North Highlands, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.