Uyen Phuong Pham, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DDS102001 Issued in CA

Practice address

3410 Grand Ave Ste F
Chino Hills, CA 91709-1473

Phone

(909) 364-0027

NPI assigned

Sep 26, 2017

Last updated

Sep 26, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fulbright Dental Group, PC

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1336384619
  Medicare reassignment NPD
• Lumina Healthcare, LLC

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1932343589
  NPD (past)
• Rodgers and Sambangi Dental Corporation

  dba Chino Hills Dental Group

  • General Practice Dentistry
  • Chino Hills, CA
  • NPI 1295828481
  NPD (past)

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506384000000",
    "number": "1134638885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8162 MAJOR CIR APT D",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476063",
            "telephone_number": "714-386-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 GRAND AVE STE F",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917091473",
            "telephone_number": "909-364-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "UYEN",
        "middle_name": "PHUONG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2017-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS102001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peterson Chiropractic
• Derrik Brian Peterson, DC
• Diem Quynh Pham, D.O.
• Jimmy Bao Pham, DDS
• Tiffany Pham, OD
• Sara Lauren Phung, DDS
• Phyllis K. Kawada, DDS, Ms, a Professional Corporation
• Derek Pi, OD
• Jimmy Pineda
• Ping-Lin Ben Chung, DDS, DMSC, Inc

• Dentist in Chino Hills, CA
• Providers in Chino Hills, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.