Kinh La-Pham, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

62792 Issued in CA

Practice address

9039 Bolsa Ave
103
Westminster, CA 92683-5572

Phone

(714) 379-1322

NPI assigned

Aug 29, 2013

Sex

Male

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Catherine Pham DDS Inc

  • Dentist
  • Westminster, CA
  • NPI 1689713968
  NPD (past)

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1790119402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18616 CALLENS CIR",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086626"
        },
        {
            "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": "KINH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Kushner, RN
• Melissa Kusler, LCSW
• William Myung Kwon, DDS, MD
• Ky Ngoc Nguyen MD Inc
• La Magnolia Medical Group
• Minh-an La-Pham, D.D.S.
• Kristine Huyen Tran La, PHARMD
• Phuc Vinh La
• Laboratory Practice, Inc.
• Francine Lagman, RN

• General Practice Dentistry in Westminster, CA
• Providers in Westminster, 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 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.