Organization Active NPI

Thomas M Pham DMD Inc

  • Dental Clinic/Center
  • Camarillo, CA
National Provider Identifier
1982341798
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
THOMAS M PHAM DMD INC
Practice address
400 Mobil Ave Ste A4
Camarillo, CA 93010-6375
Phone
(805) 484-3599
NPI assigned
May 14, 2022
Last updated
Nov 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Authorized official

Name
Dr. Thomas Minh Pham, DMDNPI 1962814038
Title
Owner
Phone
(361) 425-7286

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

400 Mobil Ave Ste A4
Camarillo, CA 93010-6375

Mailing address

400 Mobil Ave Ste A4
Camarillo, CA 93010-6375
Phone (805) 484-3599

National Provider Directory

National Provider Directory

Locations

400 Mobil Ave
Ste A4
Camarillo, CA 93010
Phone (805) 484-3599

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1652486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1982341798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MOBIL AVE STE A4",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106375",
            "telephone_number": "805-484-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MOBIL AVE STE A4",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106375",
            "telephone_number": "805-484-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS M PHAM DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-14",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MINH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-425-7286",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.