Thanh Hoai Pham, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS104800 Issued in CA

Practice address

277 S Rancho Santa Fe Rd
#J
San Marcos, CA 92078-2342

Phone

(760) 744-8314

Fax

(760) 744-9174

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Comfort Dental San Marcos Inc

  • Dental Clinic/Center
  • San Marcos, CA
  • NPI 1992408728
  NPD Authorized official
• Cox Dental Corporation

  dba Gentle Dental Del Lago

  • General Practice Dentistry
  • Escondido, CA
  • NPI 1174730741
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1073685269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 S RANCHO SANTA FE RD",
            "address_2": "#J",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782342",
            "telephone_number": "760-744-8314",
            "fax_number": "760-744-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 S RANCHO SANTA FE RD",
            "address_2": "#J",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782342",
            "telephone_number": "760-744-8314",
            "fax_number": "760-744-9174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 Clydesdale Trl Ste 1040",
            "address_purpose": "LOCATION",
            "city": "Medina",
            "state": "MN",
            "postal_code": "553404585",
            "country_code": "US",
            "telephone_number": "763-478-6643",
            "fax_number": "763-478-2931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "THANH",
        "middle_name": "HOAI",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D11353",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D11353",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS104800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric R Pevney, PHD
• Alise Kathleen Pham, DO
• Lena Hanhduyen Pham
• Lynda Ho Pham, LMFT
• Nikki Pham, PHARM.D.
• Yufuko Phothichack
• James Van Phung, OD.
• Jennifer Lea Pierce, FNP-C
• Vanessa Pina
• Rodina May Pinuela, RN, FNP-BC

• General Practice Dentistry in San Marcos, CA
• Providers in San Marcos, 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 21, 2023; 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.