Phuong-Thu Phi

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

110061 Issued in CA

Practice address

19028 Stevens Creek Blvd Ste a
Cupertino, CA 95014-2563

Phone

(408) 996-8611

NPI assigned

May 16, 2024

Last updated

May 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1285483651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19028 STEVENS CREEK BLVD STE A",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950142563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19028 STEVENS CREEK BLVD STE A",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950142563",
            "telephone_number": "408-996-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHI",
        "first_name": "PHUONG-THU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "110061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Anne Peters, PH.D.
• Leonard Winslow Peterson, DDS
• Petra Eggert (IntraHealth)
• Ngan Le Pham
• Huan Ngoc Phan
• Brittany Pickett-Rose, DACM
• Play ABA, LLC (Play ABA)
• Pleasant View Convalescent Hospital, Inc.
• Plum Fairy Acupuncture Health Center, Inc
• Gunawan Poespowidjojo, DC

• General Practice Dentistry in Cupertino, CA
• Providers in Cupertino, 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 May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.