Organization Active NPI

Pham Vo Dental Partnership

  • General Practice Dentistry
  • La Verne, CA
National Provider Identifier
1215705678
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Feb 25, 2026

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

Authorized official

Name
Derick Uy Pham, DMDNPI 1093247074
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.