NPIMap

Organization Active NPI

C Pham & S Mauseth Dental Corporation

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Chula Vista, CA
National Provider Identifier
1548051287
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
C PHAM & S MAUSETH DENTAL CORPORATION
Practice address
2015 Birch Rd Ste 103
Chula Vista, CA 91915-2003
Phone
(619) 391-9287
NPI assigned
May 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Authorized official

Name
Chieu PhamNPI 1972645638
Title
Owner
Phone
(619) 391-9287

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

2015 Birch Rd Ste 103
Chula Vista, CA 91915-2003

Mailing address

2015 Birch Rd Ste 103
Chula Vista, CA 91915-2003

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1548051287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 BIRCH RD STE 103",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919152003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 BIRCH RD STE 103",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919152003",
            "telephone_number": "619-391-9287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C PHAM & S MAUSETH DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "CHIEU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-391-9287"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.