Individual provider Active NPI

Taylor Thanh Pham, DDS

  • General Practice Dentistry
  • La Palma, CA
National Provider Identifier
1467460436
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43483 Issued in CA
Practice address
7881 Valley View St
La Palma, CA 90623-1849
Phone
(714) 739-2727
Fax
(714) 739-2757
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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 43483 CA Primary

Addresses

Primary practice location

7881 Valley View St
La Palma, CA 90623-1849

Mailing address

7881 Valley View St
La Palma, CA 90623-1849
Phone (714) 739-2727

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160621002508 CA Order and Referring Only - DentistPractitioner - Dentist 3779874813

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor T. Pham DDS a Professional Corp. Current Accepting new patients

Locations

7881 Valley View St
La Palma, CA 90623
Phone (714) 739-2727

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1467460436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7881 VALLEY VIEW ST",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231849",
            "telephone_number": "714-739-2727",
            "fax_number": "714-739-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7881 VALLEY VIEW ST",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231849",
            "telephone_number": "714-739-2727",
            "fax_number": "714-739-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "TAYLOR",
        "middle_name": "THANH",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Palma, CA

Sources for this page

Verify at the official NPI Registry.