Mai Pham, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

64449 Issued in CA

Practice address

2414 S Fairview St
Suite #101
Santa Ana, CA 92704-5318

Phone

(281) 298-2433

NPI assigned

Jun 9, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735344000000",
    "number": "1245643154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 S FAIRVIEW ST",
            "address_2": "SUITE #101",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045318",
            "telephone_number": "714-617-4294",
            "fax_number": "714-242-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 S FAIRVIEW ST",
            "address_2": "SUITE #101",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045318",
            "telephone_number": "281-298-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "MAI",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-09",
        "last_updated": "2024-12-28",
        "certification_date": "2024-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "29878",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "64449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Pham, CRNA
• Justin Pham, BSN, PHN, RN
• Kaitlyn Brittany Mai Quynh Pham
• Leann Ngo Pham
• Lillian Pham, PHARMD
• Matthew T Pham
• Misa Pham, PA-C
• Nancy Pham, SOCIAL WORKER
• Nhu Pham, FNP
• Philong Pham, DDS

• General Practice Dentistry in Santa Ana, CA
• Providers in Santa Ana, 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 Dec 28, 2024; 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.