Phuong My Ngo and Con Ngoc Tran, DDS, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

44104 Issued in CA

Legal business name

PHUONG MY NGO AND CON NGOC TRAN, DDS, INC.

Practice address

10425 Magnolia Ave Ste a
Anaheim, CA 92804-5113

Phone

(714) 952-3582

Fax

(714) 236-5409

NPI assigned

Jan 7, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Con Ngoc Tran, D.D.S

Title

Ceo

Phone

(714) 952-3582

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• PC Dental Care Doing business as

Locations

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

{
    "created_epoch": "1168128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515628800000",
    "number": "1235287434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10425 MAGNOLIA AVE #A",
            "address_2": "SUITE # A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928045113",
            "telephone_number": "714-952-3582",
            "fax_number": "714-236-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10425 MAGNOLIA AVE STE A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928045113",
            "telephone_number": "714-952-3582",
            "fax_number": "714-236-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHUONG MY NGO AND CON NGOC TRAN, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-07",
        "last_updated": "2018-01-11",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "CON",
        "authorized_official_middle_name": "NGOC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-952-3582",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44104",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41493",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G91567",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "G91567-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PC Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• CHI Huu Phung, MD
• Jane Phung
• Nguyen Ai Phung
• Rebecca Phung, OD
• Tieu O Phung, M.D.
• Physiotherapy Associates, Inc.
• Benjamin Y Pi, DDS
• Shannen Reambonanza Pichay, MSN, FNP-C
• Heidi T Pickering, P.T.
• Kevin Pickering, RADT

• General Practice Dentistry in Anaheim, CA
• Providers in Anaheim, 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 Jan 11, 2018; 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.