Palm Phan Dental Group Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PALM PHAN DENTAL GROUP INC

Practice address

7275 E Southgate Dr Ste 110
Sacramento, CA 95823-2610

Phone

(916) 391-7525

NPI assigned

Nov 7, 2025

Last updated

Aug 12, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chau Phan, DDSNPI 1154330017

Title

President

Phone

(279) 599-4611

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chau My Phan, DENTIST

  • General Practice Dentistry
  • Sacramento, CA
  • NPI 1154330017
  NPD Authorized official
• Cudick L. Azurduy, D.D.S.

  • General Practice Dentistry
  • Sacramento, CA
  • NPI 1457561151
  NPD (past)

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

{
    "created_epoch": "1762473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1669342366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7275 E SOUTHGATE DR STE 110",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232610",
            "telephone_number": "916-391-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7275 E SOUTHGATE DR STE 110",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232610",
            "telephone_number": "916-391-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM PHAN DENTAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-07",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "CHAU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "279-599-4611",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Yvette Barona Palileo, PA-C
• Ruth Palko
• Shae Angelique Palkovic
• Brittany Palladino, DNP, PMHNP
• Ali Pallani
• Amber D Palma
• Cecelia Palma
• Efrain Palma
• Giselle Carolina Palma
• Gloria Palma

• General Practice Dentistry in Sacramento, CA
• Providers in Sacramento, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.