Gabriella TN Pham DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42761 Issued in CA

Legal business name

GABRIELLA TN PHAM DDS INC

Practice address

891 Baker St
Suite A12
Costa Mesa, CA 92626-4361

Phone

(714) 850-9999

NPI assigned

Jul 29, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Gabriella Thanh-Ngoc Pham, D.D.S

Title

President

Phone

(714) 850-9999

Specialties & licenses 1

Addresses

Tax ID family

Gabriella TN Pham DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gabriella TN Pham DDS Inc

  • General Practice Dentistry
  • Santa Ana, CA
  • NPI 1942452057
  NPD tax ID

Locations

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

{
    "created_epoch": "1343520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343520000000",
    "number": "1295081107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 BAKER ST",
            "address_2": "SUITE A12",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264361",
            "telephone_number": "714-850-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 BAKER ST",
            "address_2": "SUITE A12",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264361",
            "telephone_number": "714-850-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIELLA TN PHAM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-29",
        "last_updated": "2012-07-29",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "GABRIELLA",
        "authorized_official_middle_name": "THANH-NGOC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-850-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Furukawa, D.C.
• Deborah Michelle Fyvie, CMT,LMT
• Vince Gabriel Gaborno, CADC1
• Bazen Gebra Gabrakirstos
• William Marshall Gabriel, D.P.T.
• Mayra Alexandra Gaeta Perez
• Gaff Dental Inc
• Erin K Gage, PAC
• Jessica Jean Gaitan
• Kathryn Galassi, LCSW

• General Practice Dentistry in Costa Mesa, CA
• Providers in Costa Mesa, 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 Jul 29, 2012; 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.