Individual provider Active NPI

Katie Phuong Ho

  • General Practice Dentistry
  • Placentia, CA
National Provider Identifier
1427826601
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
111405 Issued in CA
Practice address
601 E Yorba Linda Blvd Ste 3
Placentia, CA 92870-3006
Phone
(714) 996-1212
NPI assigned
Dec 18, 2023
Last updated
Aug 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 111405 CA Primary

Addresses

Primary practice location

601 E Yorba Linda Blvd Ste 3
Placentia, CA 92870-3006

Mailing address

7431 Edinger Ave Unit 307
Huntington Beach, CA 92647-7850
Phone (714) 591-7112

Other practice location 1

13017 Artesia Blvd Ste D120
Cerritos, CA 90703-1391
Phone (562) 860-6626

Other practice location 2

1042 E Wardlow Rd
Long Beach, CA 90807-4708
Phone (562) 542-3080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jesmine Boghawala DDS Inc. Past Accepting new patients
Boghawala Dental Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1427826601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7431 EDINGER AVE UNIT 307",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477850",
            "telephone_number": "714-591-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E YORBA LINDA BLVD STE 3",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703006",
            "telephone_number": "714-996-1212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13017 Artesia Blvd Ste D120",
            "address_purpose": "LOCATION",
            "city": "Cerritos",
            "state": "CA",
            "postal_code": "907031391",
            "country_code": "US",
            "telephone_number": "562-860-6626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1042 E Wardlow Rd",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908074708",
            "country_code": "US",
            "telephone_number": "562-542-3080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HO",
        "first_name": "KATIE",
        "middle_name": "PHUONG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "111405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.