Johnny Duy Pham

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

107364 Issued in CA

Practice address

19720 Beach Blvd Ste a
Huntington Beach, CA 92648-2932

Phone

(714) 593-1010

NPI assigned

Mar 4, 2021

Last updated

Jul 28, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alex R Sharifian DDS, Inc

  dba Beach Dental Group and Orthodontics

  • General Practice Dentistry
  • Huntington Beach, CA
  • NPI 1295946119
  NPD (past)

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1316532914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14852 GIVENS PL",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835513",
            "telephone_number": "714-722-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19720 BEACH BLVD STE A",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482932",
            "telephone_number": "714-593-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "JOHNNY",
        "middle_name": "DUY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-04",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "107364",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "107364",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hang Pham
• Ho Phong Nguyen Xuan Pham, MD
• Jefferey Pham, D.D.S
• John Pham
• John Quoc Pham
• Krystal Hong-Quyen Pham, D.D.S.
• Long Kim Pham
• Lynda Pham
• Quang Manh Pham, PHARMACIST
• Samantha Pham

• Endodontics in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.