David H Pham, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

48662 Issued in CA

Practice address

1000 E Imperial Hwy Ste A1
Brea, CA 92821-5602

Phone

(714) 330-1194

NPI assigned

Aug 23, 2006

Sex

Male

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• David Pham Dental Corporation

  • General Practice Dentistry
  • Brea, CA
  • NPI 1467094185
  NPD (past) Authorized official

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1295841997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3721 LAKEVIEW DR",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928351518",
            "telephone_number": "714-330-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E IMPERIAL HWY STE A1",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215602",
            "telephone_number": "714-330-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "DAVID",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxie Robin Persi, PSY.D.
• Personal Care Physical Therapy, Inc
• Peter Yi Chiropractic Inc
• Peterson Dentistry DDS Inc
• Gregory Peterson, D.D.S.
• Heather Pham
• Renee Pham, NP
• Trang Doan-Minh Phan, PA-C
• Pharmedquest Pharmacy Services
• Errol James Philip, PH.D.

• General Practice Dentistry in Brea, CA
• Providers in Brea, 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 10, 2019; 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.