Christopher Pham, DDS, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

105532 Issued in CA

Practice address

13197 Central Ave Ste 201
Chino, CA 91710-4178

Phone

(909) 579-2648

NPI assigned

Sep 15, 2020

Last updated

Feb 10, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1700491891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 S LEMON AVE # 7034",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917892706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13197 CENTRAL AVE STE 201",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104178",
            "telephone_number": "909-579-2648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6611 Arlington Ave Ste G",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925041959",
            "country_code": "US",
            "telephone_number": "909-579-2648",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6552 Blue Heron Dr",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926482650",
            "country_code": "US",
            "telephone_number": "714-552-4151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "CHRISTOPHER",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-15",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "105532",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "105532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa C. Perez, PH.D.
• Roberta Alice Perlman, O.D.
• Gail Borbe Perry, FNP-BC
• Melissa Petrossian, MA
• Chloe Mai Pham
• Pharmagrace, Inc. (Grandview Pharmacy)
• Kathy G Phillips, LMFT
• Phoenix Therapy
• Bruce Long-Tan Phung, D.D.S.
• Duong Thieu Phung, M.D.

• Periodontics in Chino, CA
• Providers in Chino, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.