Paula Phu, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

109003 Issued in CA

Practice address

18700 Main St Ste 203
Huntington Beach, CA 92648-1714

Phone

(714) 375-7222

NPI assigned

Jul 26, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Serena T Ta Dental Corporation

  • Dental Clinic/Center
  • Huntington Beach, CA
  • NPI 1659914612
  NPD

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1649951344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 S WESTSIDE DR UNIT 2102",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928058669",
            "telephone_number": "720-998-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18700 MAIN ST STE 203",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481714",
            "telephone_number": "714-375-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHU",
        "first_name": "PAULA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "109003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Steven Phillips, PHARMD
• Linda Pho
• Deborah Phon
• Phong Thien Vu, M.D., Inc.
• Christianne M. Phu, D.D.S.
• Phiet Phung, MD
• Physical RX Physical Therapy, Inc.
• Physiotherapy Associates Inc
• Yesica Picazo
• Kerry Pickering, PT

• Dentist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.

Verify at the official NPI Registry.