NPIMap

Organization Active NPI

Giai V Pham, DMD, Inc.

  • General Practice Dentistry
  • Fresno, CA
National Provider Identifier
1639201221
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
50089 Issued in CA
Legal business name
GIAI V PHAM, DMD, INC.
Practice address
7090 N Cedar Ave
Fresno, CA 93720-3300
Phone
(559) 324-9494
Fax
(559) 324-9472
NPI assigned
Mar 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Giai V Pham, DMDNPI 1497723670
Title
President
Phone
(559) 324-9494

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 50089 CA Primary

Addresses

Primary practice location

7090 N Cedar Ave
Fresno, CA 93720-3300

Mailing address

7090 N Cedar Ave
Fresno, CA 93720-3300
Phone (559) 324-9494

Other identifiers 1

IdentifierTypeStateIssuer
G9319901OtherCADENTI-CAL BILLING NUMBER

Other names 1

  • Pacific Dental Group Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1173484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639201221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7090 N CEDAR AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203300",
            "telephone_number": "559-324-9494",
            "fax_number": "559-324-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7090 N CEDAR AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203300",
            "telephone_number": "559-324-9494",
            "fax_number": "559-324-9472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIAI V PHAM, DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "GIAI",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-324-9494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL BILLING NUMBER",
            "identifier": "G9319901",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.