Son Ngoc Pham, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

53850 Issued in CA

Practice address

565 Contra Costa Blvd
Suite B
Pleasant Hill, CA 94523-1259

Phone

(925) 689-2748

NPI assigned

Jun 5, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• California Smile - Pleasant Hill PC

  • Dentist
  • Pleasant Hill, CA
  • NPI 1033261896
  NPD (past) Authorized official

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1962661744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 CONTRA COSTA BLVD",
            "address_2": "SUITE B",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945231259",
            "telephone_number": "925-451-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 CONTRA COSTA BLVD",
            "address_2": "SUITE B",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945231259",
            "telephone_number": "925-689-2748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "SON",
        "middle_name": "NGOC",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackie Lennett Peterson, RD CDCES
• Christopher Alan Petrush, D.D.S.
• Kristine Kelli Pettersson-Rosenbusch, M.A., LMFT
• PH Senior Care LLC
• Daniel Pham
• Stephanie Marie Phillips, FNP
• Pia Briones DDS Inc
• Karissa Pivirotto-Britton, MS, PPS, LEP
• Gretchen Holmes Placzek, M.S.W.
• Pleasant Hill Family Medicine Inc

• General Practice Dentistry in Pleasant Hill, CA
• Providers in Pleasant Hill, 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 Jun 5, 2008; 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.