Kevin Thang Pham I, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

48979 Issued in CA

Practice address

7746 Lorraine Ave Ste 204
Stockton, CA 95210-4234

Phone

(209) 475-0869

Fax

(209) 475-0859

NPI assigned

Oct 3, 2006

Sex

Male

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

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1003900705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7746 LORRAINE AVE STE 204",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952104234",
            "telephone_number": "209-475-0869",
            "fax_number": "209-475-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7746 LORRAINE AVE STE 204",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952104234",
            "telephone_number": "209-475-0869",
            "fax_number": "209-475-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "KEVIN",
        "middle_name": "THANG",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2026-02-12",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Pham
• Hanh Pham
• Jane Pham
• Jennifer Pham, O.D.
• Jessica Phuong Trang Pham, MD
• Kimberly Pham, DO
• Nguyen D Pham
• Thu Dan Thi Pham, PH.D.
• Trieu Hai Pham, M.D.
• Alex H.D. Phan, MD

• General Practice Dentistry in Stockton, CA
• Providers in Stockton, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.