NPIMap

Organization Active NPI

Pham & Cao Dental Corp.

  • General Practice Dentistry
  • Long Beach, CA
National Provider Identifier
1235200783
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43483 Issued in CA
Legal business name
PHAM & CAO DENTAL CORP.
Practice address
2407 Atlantic Ave
Long Beach, CA 90806-3221
Phone
(562) 981-1000
Fax
(562) 981-1003
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Taylor Pham, D.D.S.
Title
Owner
Phone
(562) 981-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 43483 CA Primary

Addresses

Primary practice location

2407 Atlantic Ave
Long Beach, CA 90806-3221

Mailing address

2407 Atlantic Ave
Long Beach, CA 90806-3221
Phone (562) 981-1000

Other identifiers 1

IdentifierTypeStateIssuer
G93083-01OtherCADENTI-CAL PROVIDER NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Pham Cao Dental Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2407 Atlantic Ave
Long Beach, CA 90806
Phone (562) 981-1000

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235200783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908063221",
            "telephone_number": "562-981-1000",
            "fax_number": "562-981-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908063221",
            "telephone_number": "562-981-1000",
            "fax_number": "562-981-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHAM & CAO DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-981-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL PROVIDER NUMBER",
            "identifier": "G93083-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.