Eric Van Pham, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DDS107760 Issued in CA

Practice address

5603 Auburn St Unit B
Bakersfield, CA 93306-2979

Phone

(661) 327-2189

Fax

(661) 327-4350

NPI assigned

Oct 18, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Roger V. Pham, D.D.S., a Professional Dental Corporation

  • Dental Clinic/Center
  • Bakersfield, CA
  • NPI 1851115596
  NPD

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1790401941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13442 FLOWER ST APT 5",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928436128",
            "telephone_number": "714-603-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5603 AUBURN ST UNIT B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933062979",
            "telephone_number": "661-327-2189",
            "fax_number": "661-327-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "ERIC",
        "middle_name": "VAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS107760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Henry Peyton, DDS
• Mirna Pfeil, RN
• Pham & Mehdipour Inc
• Christopher Ha Pham
• Duy Pham, O.D.
• Jovianne Pham, PT, DPT
• Kieuanh Thi Pham, MD
• Nina Pham, OD
• Randy Pham
• Rhoda Diem-Hong Pham, D.O.

• Dentist in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.