Organization Active NPI

Nghia Minh Pham, a Professional Dental Corp.

  • Dental Clinic/Center
  • San Diego, CA
National Provider Identifier
1306032164
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
39868 Issued in CA
Legal business name
NGHIA MINH PHAM, A PROFESSIONAL DENTAL CORP.
Practice address
9831 Mira Mesa Blvd
San Diego, CA 92131-1005
Phone
(858) 547-9393
Fax
(858) 547-9392
NPI assigned
Sep 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

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

Authorized official

Name
Ms. Connie Tsai
Title
Front Desk
Phone
(858) 547-9393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 39868 CA Primary

Addresses

Primary practice location

9831 Mira Mesa Blvd
San Diego, CA 92131-1005

Mailing address

9831 Mira Mesa Blvd
San Diego, CA 92131-1005
Phone (858) 547-9393

National Provider Directory

National Provider Directory
Tax ID family
Nghia Minh Pham a Professional Dental Corp2 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1306032164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9831 MIRA MESA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311005",
            "telephone_number": "858-547-9393",
            "fax_number": "858-547-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9831 MIRA MESA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311005",
            "telephone_number": "858-547-9393",
            "fax_number": "858-547-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGHIA MINH PHAM, A PROFESSIONAL DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "TSAI",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "FRONT DESK",
        "authorized_official_telephone_number": "858-547-9393",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "39868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; 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.