Peter H Pham, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50812 Issued in CA

Practice address

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

Phone

(714) 528-2000

NPI assigned

Feb 28, 2011

Sex

Male

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 and National Provider Directory roles.

• Peter H Pham DDS Inc

  • Dental Clinic/Center
  • Yorba Linda, CA
  • NPI 1124625280
  NPD Authorized official
• Rodgers and Sambangi Dental Corporation

  • General Practice Dentistry
  • Chino Hills, CA
  • NPI 1295828481
  NPD (past)
• Thu-Thuy Vo, D.D.S. Inc.

  • General Practice Dentistry
  • Yorba Linda, CA
  • NPI 1639382955
  NPD (past)

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1194022111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 TANGERINE PL",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928231809",
            "telephone_number": "714-904-8635"
        },
        {
            "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": {
        "last_name": "PHAM",
        "first_name": "PETER",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-28",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Narek Perian, PA-C
• Peter H Pham DDS Inc
• Marian Cabero Peyton
• Alexander Pham, MD
• Long Pham, FNP-C
• Van Hong Pham, RPH
• Phamily Home Elderly Care 2
• James Van Phan, MD
• Jason Phan, FNP
• Son Phuoc Phung, RPH

• General Practice Dentistry in Yorba Linda, CA
• Providers in Yorba Linda, CA by specialty
• General Practice Dentistry in California

• 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.
• 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.