Nam Ngoc Dinh

Primary specialty

DentistTaxonomy code 122300000X

License

113148 Issued in CA

Practice address

2288 Daniels St
Manteca, CA 95337-6706

Phone

(209) 456-5610

NPI assigned

Jun 22, 2018

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

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.

• Robert P. Nakaki Dental Corporation

  • General Practice Dentistry
  • Manteca, CA
  • NPI 1841471299
  NPD (past)

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1184119174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 E 15TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946064525",
            "telephone_number": "510-984-8939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2288 DANIELS ST",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953376706",
            "telephone_number": "209-456-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINH",
        "first_name": "NAM",
        "middle_name": "NGOC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-22",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-19-107965",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "113148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sofia Julie Diaz-Caporgno, RCP
• Claudia Diaz
• Genaro F Diaz, RCP
• Victoria Fara Leah Diaz
• Dennis Neal Mendoza Dimen, FNP-C
• Direct Dermatology Professionals PC
• Doctors Hospital of Manteca, Inc.
• Trevor M Dolling, PA
• Sandeep Dosanjh
• Bhavin Doshi, M.D., M.P.H.

• Dentist in Manteca, CA
• Providers in Manteca, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.