Pham & Jan Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PHAM & JAN DENTAL CORPORATION

Doing business as

Chatsworth Family Dental Group

Practice address

21029 Devonshire St
Chatsworth, CA 91311-2315

Phone

(818) 998-6446

Fax

(818) 998-5005

NPI assigned

Aug 30, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Hayden Van Pham, DDSNPI 1306490719

Title

Dentist

Phone

(818) 998-6446

Specialties & licenses 1

Addresses

Other names 1

• Chatsworth Family Dental Group Doing business as

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hayden Pham, DDS

  • Dentist
  • Chatsworth, CA
  • NPI 1306490719
  NPD Authorized official
• Michael Anthony D'Egidio, D.D.S.

  • General Practice Dentistry
  • Chatsworth, CA
  • NPI 1740362706
  NPD (past)
• Alan Richard Wolfson, D.D.S.

  • General Practice Dentistry
  • Chatsworth, CA
  • NPI 1720160781
  NPD (past)

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1952078677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4960 SEPULVEDA BLVD APT 305",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21029 DEVONSHIRE ST",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112315",
            "telephone_number": "818-998-6446",
            "fax_number": "818-998-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHAM & JAN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "HAYDEN",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "818-998-6446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chatsworth Family Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rosa E Perez, B.A
• Zuleima Perez
• Persian-American Adult Day Health Care Center, Inc. (Forever Young Adult Day Health Care Center)
• Syuzanna Petrosyan, LVN
• Petrus Corp. (Mabuhay Medical Supplies)
• Hayden Pham, DDS
• Pharmacist Holding Group
• Pharmacist Integrative Healthcare, Inc.
• Megan Anna Philip
• Phillips Graduate University (California Family Counseling ('CalFam'))

• Dental Clinic/Center in Chatsworth, CA
• Providers in Chatsworth, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.