Andrew Pham, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

102950 Issued in CA

Practice address

5122 Katella Ave Ste 112
Los Alamitos, CA 90720-2837

Phone

(562) 493-2807

NPI assigned

Feb 27, 2017

Sex

Male

Sole proprietor

No

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

State licenses

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.

• Nelson Pai DDS & Susan Ishioka DDS Ms, Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Los Alamitos, CA
  • NPI 1851503437

  General Practice

  NPD (past)

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1851831697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5122 KATELLA AVE STE 112",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5122 KATELLA AVE STE 112",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202837",
            "telephone_number": "562-493-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-27",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "102950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Pesceone-Brborich, MFT
• Peter Ly MD Medical Corporation
• Claire Peters
• Christi Ann Peterson, D.M.D.
• Petrichor Healing Family Therapy, Inc.
• Kaylyn Bich Hong Pham, PHARMD
• Lee Duong Pham, DDS, MD, MS
• Thanh T Pham, FNP-C
• Tina Thi Pham, PTA
• Vu Q. Phan, MD

• General Practice Dentistry in Los Alamitos, CA
• Providers in Los Alamitos, 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 Nov 11, 2021; 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.