Narjes Ahmadi
Individual provider Active NPI Dentist · Fountain Valley, CA
NPI 1487088415 · NPPES record last updated May 27, 2026
Key facts
- NPI
- 1487088415
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 15435 (MD)
- Practice address
- 17991 Euclid St
Fountain Valley, CA 92708-5409 - Phone
- (714) 378-0085
- NPI assigned
- Aug 27, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D100112 | CA | MD | Dentist |
| 15435 | MD | MD | Dentist |
| 0401414160 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Krystal Pham DDS, Inc | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 15435 | MD | Yes |
| Dentist | 122300000X | D100112 | CA | |
| Dentist | 122300000X | 0401414160 | VA |
Addresses
Primary practice location
17991 Euclid St
Fountain Valley, CA 92708-5409
Mailing address
59 Feather RDG
Mission Viejo, CA 92692-5185
Other providers in Fountain Valley, CA
- Claudia V Aguilar
- Thelma Aguilar
- Janelle Penalosa Agustin
- Bernadette Ah-Hing
- Mehrdad Ahdoot
- Ahmed Alsadek, MD Inc.
- Zavier Shawkat Ahmed
- Amy Ahn
- Ai Huang, D.M.D., Inc.
- Nicholas Aiello
All providers in Fountain Valley, CA · Dentist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.