Organization Active NPI

Lien Ngoc Pham DDS

  • Dentist
  • Palmdale, CA
National Provider Identifier
1124201496
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
LIEN NGOC PHAM DDS
Practice address
2541 E Avenue S
Suite B
Palmdale, CA 93550-6402
Phone
(661) 274-8800
NPI assigned
Dec 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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

Authorized official

Name
Dr. Lien Ngoc Pham, DDS
Title
Dentist
Phone
(408) 254-8800

Specialties & licenses 1

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

Addresses

Primary practice location

2541 E Avenue S
Suite B
Palmdale, CA 93550-6402

Mailing address

2541 E Avenue S
Suite B
Palmdale, CA 93550-6402
Phone (661) 274-8800

Other identifiers 1

IdentifierTypeStateIssuer
B40483-02OtherCADENTICAL

National Provider Directory

National Provider Directory

Locations

2541 E Avenue S
#B
Palmdale, CA 93550
Phone (661) 274-8800

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1124201496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2541 E AVENUE S",
            "address_2": "SUITE B",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935506402",
            "telephone_number": "661-274-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2541 E AVENUE S",
            "address_2": "SUITE B",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935506402",
            "telephone_number": "661-274-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIEN NGOC PHAM DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "LIEN",
        "authorized_official_middle_name": "NGOC",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "408-254-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "B40483-02",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.