Organization Active NPI

Vinh D Phan DDS

  • Dental Clinic/Center
  • Sacramento, CA
National Provider Identifier
1104018894
Registry record updated Aug 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
45754 Issued in CA
Legal business name
VINH D PHAN DDS
Practice address
3337 El Camino Ave
Sacramento, CA 95821-6307
Phone
(916) 486-8240
Fax
(916) 486-3768
NPI assigned
Aug 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2007

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

Authorized official

Name
Vinh Dinh Phan, DDSNPI 1558410589
Title
Owner
Phone
(916) 486-8240

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
Dental Clinic/Center 261QD0000X 45754 CA Primary

Addresses

Primary practice location

3337 El Camino Ave
Sacramento, CA 95821-6307

Mailing address

3337 El Camino Ave
Sacramento, CA 95821-6307
Phone (916) 486-8240

National Provider Directory

National Provider Directory
Tax ID family
Vinh D Phan DDS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3337 El Camino Ave
Sacramento, CA 95821
Phone (916) 486-8240

Practitioners & affiliated clinicians

Practitioners 1

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": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187481600000",
    "number": "1104018894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3337 EL CAMINO AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958216307",
            "telephone_number": "916-486-8240",
            "fax_number": "916-486-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3337 EL CAMINO AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958216307",
            "telephone_number": "916-486-8240",
            "fax_number": "916-486-3768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINH D PHAN DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-19",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "VINH",
        "authorized_official_middle_name": "DINH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-486-8240",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "45754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2007; 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.