Active NPI
Anh N. Pham, D.D.S., M.S.
- Periodontics
- Hayward, CA
National Provider Identifier
1235503806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DDS65101
- Practice address
- 933 C St
Hayward, CA 94541-5122 - Phone
- (909) 533-8888
- NPI assigned
- Nov 19, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 65101 | CA | |
| Periodontics | 1223P0300X | DDS65101 | CA | Primary |
Addresses
Primary practice location
933 C St
Hayward, CA 94541-5122
Mailing address
1531 N St Apt 223
Sacramento, CA 95814-5099
Phone (909) 533-8888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS65101 | CA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537401600000",
"number": "1235503806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1531 N ST APT 223",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958145099",
"telephone_number": "909-533-8888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "933 C ST",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945415122",
"telephone_number": "909-533-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "ANH",
"middle_name": "N.",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-19",
"last_updated": "2018-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "65101",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "DDS65101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.