Active NPI
Kimberly N. Pham, DMD
- Endodontics
- Lakewood, CA
National Provider Identifier
1265078042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 50671
- Practice address
- 5830 Bellflower Blvd
Lakewood, CA 90713-1058 - Phone
- (562) 461-8080
- NPI assigned
- Nov 27, 2019
- Last updated
- Nov 27, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 50671 | CA | Primary |
Addresses
Primary practice location
5830 Bellflower Blvd
Lakewood, CA 90713-1058
Mailing address
2650 Skyline Dr
Signal Hill, CA 90755-3823
Phone (562) 489-6434
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50671 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bardi-Choi Dental Corporation | Endodontics | Current | Accepting new patients |
| F.M. Bardi DDS Apc | Endodontics | Past | Accepting new patients |
Locations
5830 Bellflower Blvd
Lakewood, CA 90713
Phone (562) 461-8080
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574812800000",
"number": "1265078042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 SKYLINE DR",
"city": "SIGNAL HILL",
"state": "CA",
"postal_code": "907553823",
"telephone_number": "562-489-6434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5830 BELLFLOWER BLVD",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907131058",
"telephone_number": "562-461-8080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "KIMBERLY",
"middle_name": "N.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-27",
"last_updated": "2019-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "50671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.