NPIMap

Organization Active NPI

California Smile - Pleasant Hill PC

Doing business as California Smile

  • Dentist
  • Pleasant Hill, CA
National Provider Identifier
1033261896
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
53850 Issued in CA
Legal business name
CALIFORNIA SMILE - PLEASANT HILL PC
Doing business as
California Smile
Practice address
565 Contra Costa Boulevard
Suite B
Pleasant Hill, CA 94523-1259
Phone
(925) 689-2748
Fax
(925) 689-2476
NPI assigned
Jan 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Son Ngoc Pham, D.D.S.NPI 1962661744
Title
President
Phone
(925) 689-2748

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 53850 CA Primary

Addresses

Primary practice location

565 Contra Costa Boulevard
Suite B
Pleasant Hill, CA 94523-1259

Mailing address

565 Contra Costa Boulevard
Suite B
Pleasant Hill, CA 94523-1259
Phone (925) 689-2748

Other names 1

  • California Smile Doing business as

National Provider Directory

National Provider Directory

Locations

565 Contra Costa Blvd
#B
Pleasant Hill, CA 94523
Phone (925) 689-2748

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033261896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 CONTRA COSTA BOULEVARD",
            "address_2": "SUITE B",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945231259",
            "telephone_number": "925-689-2748",
            "fax_number": "925-689-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 CONTRA COSTA BOULEVARD",
            "address_2": "SUITE B",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945231259",
            "telephone_number": "925-689-2748",
            "fax_number": "925-689-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA SMILE - PLEASANT HILL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "SON",
        "authorized_official_middle_name": "NGOC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-689-2748",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "53850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Smile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pleasant Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.