Thomas M Pham, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

105242 Issued in CA

Practice address

221 Ventura Blvd Ste 126
Oxnard, CA 93036-0277

Phone

(805) 436-3444

Fax

(805) 485-4160

NPI assigned

May 23, 2014

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

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.

• Thomas M Pham DMD Inc

  • Dental Clinic/Center
  • Camarillo, CA
  • NPI 1982341798
  NPD Authorized official
• Everhart Dental PLLC

  • General Practice Dentistry
  • Corpus Christi, TX
  • NPI 1457826729
  NPD Authorized official
• Thomas M Pham DMD PLLC

  • General Practice Dentistry
  • Corpus Christi, TX
  • NPI 1033685292
  NPD Authorized official
• Clinicas del Camino Real Inc

  • Federally Qualified Health Center (FQHC)
  • Camarillo, CA
  • NPI 1295297190
  NPD (past)
• Clinicas del Camino Real Inc

  • Federally Qualified Health Center (FQHC)
  • Oxnard, CA
  • NPI 1942789359
  NPD (past)

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

{
    "created_epoch": "1400803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1962814038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 FLYNN RD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125092",
            "telephone_number": "805-673-3930",
            "fax_number": "805-659-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 VENTURA BLVD STE 126",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930360277",
            "telephone_number": "805-436-3444",
            "fax_number": "805-485-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "THOMAS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "105242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Alvin Peterson, PHD
• Janelle Maria Petris
• Shannon Pflaumer
• Jennifer Pham, DDS
• Kimberly Nguyen Pham, DDS
• Kevin Tai Phan
• Thanh T Phan
• Samuel K. Phang, MD
• Pharmacy & Health Management Services, Inc.
• Pharmacy & Health Management Services, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.