Organization Active NPI

Nghia Minh Pham, a Professional Dental Corporation

  • Dental Clinic/Center
  • San Diego, CA
National Provider Identifier
1306038294
Registry record updated Aug 14, 2007
On this page

Key facts

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

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Authorized official

Name
Dr. Nghia Minh PhamNPI 1518099514
Title
Doctor
Phone
(858) 547-9393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 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.

Locations

9831 Mira Mesa Blvd
San Diego, CA 92131
Phone (858) 536-5550

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": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1306038294",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGHIA MINH PHAM, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "NGHIA",
        "authorized_official_middle_name": "MINH",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "858-547-9393",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "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 Aug 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.