Individual provider Active NPI

Minh-an La-Pham, D.D.S.

  • General Practice Dentistry
  • Westminster, CA
National Provider Identifier
1699174532
Registry record updated Dec 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401415325 Issued in VA
Practice address
9039 Bolsa Ave
#103
Westminster, CA 92683-5572
Phone
(714) 379-1322
NPI assigned
Aug 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 63918 CA
General Practice Dentistry 1223G0001X 0401415325 VA Primary

Addresses

Primary practice location

9039 Bolsa Ave
#103
Westminster, CA 92683-5572

Mailing address

46161 Westlake Dr Ste 310
Sterling, VA 20165-5871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150814013923 CA Order and Referring Only - DentistPractitioner - Dentist 5496060758

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
63918CAMDGeneral Practice Dentistry
0401415325VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Catherine Pham DDS Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513123200000",
    "number": "1699174532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46161 WESTLAKE DR STE 310",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201655871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9039 BOLSA AVE",
            "address_2": "#103",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835572",
            "telephone_number": "714-379-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA-PHAM",
        "first_name": "MINH-AN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-15",
        "last_updated": "2017-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63918",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401415325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

Verify at the official NPI Registry.