Active NPI
Pham Vo Dental Partnership
- General Practice Dentistry
- La Verne, CA
National Provider Identifier
1215705678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- PHAM VO DENTAL PARTNERSHIP
- Practice address
- 1131 Foothill Blvd
La Verne, CA 91750 - Phone
- (909) 596-6551
- NPI assigned
- Dec 15, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Derick Uy Pham, DMD
- Title
- Co-Owner
- Phone
- (909) 596-6551
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1131 Foothill Blvd
La Verne, CA 91750
Mailing address
1131 Foothill Blvd
La Verne, CA 91750-3328
Phone (909) 596-6551
National Provider Directory
National Provider DirectoryLocations
1131 Foothill Blvd
La Verne, CA 91750
Phone (909) 596-6551
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Bell Gardens, CA
- NPI 1093247074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702598400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771977600000",
"number": "1215705678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1131 FOOTHILL BLVD",
"city": "LA VERNE",
"state": "CA",
"postal_code": "917503328",
"telephone_number": "909-596-6551",
"fax_number": "909-596-0925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1131 FOOTHILL BLVD",
"city": "LA VERNE",
"state": "CA",
"postal_code": "91750",
"telephone_number": "909-596-6551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHAM VO DENTAL PARTNERSHIP",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-15",
"last_updated": "2026-02-25",
"certification_date": "2026-02-25",
"status": "A",
"authorized_official_last_name": "PHAM",
"authorized_official_first_name": "DERICK",
"authorized_official_middle_name": "UY",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "909-596-6551",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Verne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.