Barry Pham, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

62793 Issued in CA

Practice address

30922 La Mer
Laguna Niguel, CA 92677-5513

Phone

(949) 973-1063

NPI assigned

Aug 24, 2013

Last updated

Aug 24, 2013By the provider in NPPES

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

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

{
    "created_epoch": "1377302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377302400000",
    "number": "1326472507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30922 LA MER",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775513",
            "telephone_number": "949-973-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30922 LA MER",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775513",
            "telephone_number": "949-973-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "BARRY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-24",
        "last_updated": "2013-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "62793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn James Perryman, D.C.
• Kimberly Lou Pesce, PH.D.
• Meg Peterson, RN
• Nancy L. Peterson, LMFT, MA
• Maria M. Petrosino, PH.D.
• Karen Pham
• Pharmacy Management Associates, Inc.
• Phenopath Laboratories PLLC
• Narita Phu, PHARM. D.
• Physio With Ash LLC

• Dentist in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2013; 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.