Active NPI
Ryan B Pham, DDS
- Dentist
- Los Angeles, CA
National Provider Identifier
1639955248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 109318
- Practice address
- 4046 Abourne Rd Apt B
Los Angeles, CA 90008-3244 - Phone
- (714) 225-8538
- NPI assigned
- Sep 7, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 109318 | CA | Primary |
Addresses
Primary practice location
4046 Abourne Rd Apt B
Los Angeles, CA 90008-3244
Mailing address
4046 Abourne Rd Apt B
Los Angeles, CA 90008-3244
Phone (714) 225-8538
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1639955248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4046 ABOURNE RD APT B",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900083244",
"telephone_number": "714-225-8538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4046 ABOURNE RD APT B",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900083244",
"telephone_number": "714-225-8538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "RYAN",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-09-07",
"last_updated": "2023-09-07",
"certification_date": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "109318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.