NPIMap

Organization Active NPI

Vuong and Pham, a Dental Corporation

  • Oral and Maxillofacial Surgery (Dentist)
  • Fountain Valley, CA
National Provider Identifier
1043474679
Registry record updated Jul 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
45419 Issued in CA
Legal business name
VUONG AND PHAM, A DENTAL CORPORATION
Practice address
17150 Euclid St Ste 319
Fountain Valley, CA 92708-4092
Phone
(714) 444-2274
Fax
(714) 444-2034
NPI assigned
Jul 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2008

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

Authorized official

Name
Dr. An Hong Vuong, D.D.S., M.D.NPI 1508813510
Title
Owner
Phone
(714) 444-2274

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X 45419 CA Primary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X 00067 CA

Addresses

Primary practice location

17150 Euclid St Ste 319
Fountain Valley, CA 92708-4092

Mailing address

17150 Euclid St Ste 319
Fountain Valley, CA 92708-4092
Phone (714) 444-2274

National Provider Directory

National Provider Directory

Locations

17150 Euclid St
Ste 319
Fountain Valley, CA 92708
Phone (714) 444-2274

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215907200000",
    "number": "1043474679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17150 EUCLID ST STE 319",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084092",
            "telephone_number": "714-444-2274",
            "fax_number": "714-444-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17150 EUCLID ST STE 319",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084092",
            "telephone_number": "714-444-2274",
            "fax_number": "714-444-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VUONG AND PHAM, A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-13",
        "last_updated": "2008-07-13",
        "status": "A",
        "authorized_official_last_name": "VUONG",
        "authorized_official_first_name": "AN",
        "authorized_official_middle_name": "HONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-444-2274",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "45419",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "00067",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2008; 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.