Active NPI
Anh Tu Pham, D.D.S.
- General Practice Dentistry
- Rosemead, CA
National Provider Identifier
1700909157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 51371
- Practice address
- 8244 East Garvey Avenue
Suite a
Rosemead, CA 91770 - Phone
- (626) 288-9797
- NPI assigned
- Apr 9, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 51371 | CA | Primary |
Addresses
Primary practice location
8244 East Garvey Avenue
Suite a
Rosemead, CA 91770
Mailing address
8244 East Garvey Avenue
Suite a
Rosemead, CA 91770
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51371 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anh Tu Pham D.D.S., Inc. | Past | Accepting new patients | |
| Kim-Anh Thi Vu, D.D.S., Inc. | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Rosemead, CA
- NPI 1578852448
-
- General Practice Dentistry
- Rosemead, CA
- NPI 1255416764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301529600000",
"number": "1700909157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8244 EAST GARVEY AVENUE",
"address_2": "SUITE A",
"city": "ROSEMEAD",
"state": "CA",
"postal_code": "91770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8244 EAST GARVEY AVENUE",
"address_2": "SUITE A",
"city": "ROSEMEAD",
"state": "CA",
"postal_code": "91770",
"telephone_number": "626-288-9797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "ANH",
"middle_name": "TU",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2011-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "51371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rosemead, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.