Organization Active NPI

Peter H Pham DDS Inc

  • Dental Clinic/Center
  • Yorba Linda, CA
National Provider Identifier
1124625280
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PETER H PHAM DDS INC
Practice address
18220 Yorba Linda Blvd Ste 305
Yorba Linda, CA 92886-4032
Phone
(714) 528-2000
NPI assigned
Oct 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Authorized official

Name
Dr. Peter Pham, DDSNPI 1194022111
Title
Dentist
Phone
(714) 528-2000

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 Primary

Addresses

Primary practice location

18220 Yorba Linda Blvd Ste 305
Yorba Linda, CA 92886-4032

Mailing address

18220 Yorba Linda Blvd Ste 305
Yorba Linda, CA 92886-4032
Phone (714) 528-2000

National Provider Directory

National Provider Directory

Locations

18220 Yorba Linda Blvd
Ste 305
Yorba Linda, CA 92886
Phone (714) 528-2000

Practitioners & affiliated clinicians

Practitioners 3

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": "1601510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601596800000",
    "number": "1124625280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18220 YORBA LINDA BLVD STE 305",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928864032",
            "telephone_number": "714-528-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18220 YORBA LINDA BLVD STE 305",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928864032",
            "telephone_number": "714-528-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER H PHAM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "714-528-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.