MARY REGINA PHAM D.D.S., M.S. DENTAL CORPORATION (NPI# 1326309329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326309329 |
Entity Type | Organization |
Organization Name | MARY REGINA PHAM D.D.S., M.S. DENTAL CORPORATION |
Other Organization Name | LOLLIPOP PEDIATRIC DENTISTRY |
Practice Address |
1041 E Yorba Linda Blvd Suite 206 Placentia CA 92870-3728 |
Practice Telephone | 7145288252 |
Mailing Telephone | 7145288252 |
Enumeration Date | 2012-06-06 |
Last Update Date | 2012-11-18 |
Authorized Official Name | DR. MARY REGINA PHAM (OWNER) |
Authorized Official Telephone | 7145288252 |
Authorized Official Credential | DDS, MS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
58404 | CA | Dental Providers |
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
60222 | CA | Dental Providers |
Other Name | Type Code |
---|---|
Lollipop Pediatric Dentistry | Doing Business As Name - Organization |
Street Address |
1041 E YORBA LINDA BLVD SUITE 206 |
City | PLACENTIA |
State | CA |
Zip Code | 92870-3728 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689664740 | Tommie's Medical Center Pharmacy | Pharmacist | 1041 E Yorba Linda Blvd, Suite #1, Placentia, CA 92870-3728 | 2005-10-28 |
1689198061 | Batal Medical, Inc | Surgery | 1041 E Yorba Linda Blvd, Placentia, CA 92870 | 2017-07-27 |
1063947539 | Chest and Critical Care Consultants, A Medical Group | Pediatrics | 1041 E Yorba Linda Blvd, Suite 306, Placentia, CA 92870-3728 | 2017-04-21 |
1184088379 | Costa Sports Physical Therapy Inc | Physical Therapist | 1041 E Yorba Linda Blvd, Suite 209, Placentia, CA 92870-3728 | 2016-04-13 |
1992166078 | In Hye Oh | Acupuncturist | 1041 E Yorba Linda Blvd, # 310, Placentia, CA 92870-3728 | 2016-03-16 |
1639540560 | Professional Advantage Medical Group | General Practice | 1041 E Yorba Linda Blvd, Suite 203, Placentia, CA 92870-3728 | 2015-10-19 |
1043697170 | Westview Clinical Research, LLC | Specialist | 1041 E Yorba Linda Blvd, Suite 210, Placentia, CA 92870-3728 | 2015-04-27 |
1174925747 | Nicole Casella | Counselor | 1041 E Yorba Linda Blvd, Placentia, CA 92870 | 2014-09-25 |
1790198372 | Diagnostic Medical Solutions | Clinical Medical Laboratory | 1041 E Yorba Linda Blvd, Suite 210, Placentia, CA 92870-3728 | 2014-06-11 |
1174933493 | Centers of Rehabilitation & Pain Medicine Inc | Durable Medical Equipment & Medical Supplies | 1041 E Yorba Linda Blvd, Ste 210, Placentia, CA 92870-3728 | 2014-05-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952887499 | Makaela Mendelson | Speech-Language Pathologist | 240 South Placentia Avenue, Placentia, CA 92870 | 2018-07-18 |
1194186106 | Carrie Schultz | Licensed Vocational Nurse | 543 Del Rey Dr., Placentia, CA 92870 | 2016-03-18 |
1710350277 | Caremore Health Plan | Nurse Practitioner | 1325 N. Rose Drive #102, Placentia Linda, CA 92870 | 2015-11-05 |
1871999847 | Heather Ellen Johnson | Occupational Therapist | 740 S. Placentia Ave, Suite 100, Placentia, CA 92870 | 2014-11-18 |
1992101257 | Arcel Lopez Escoto | Physical Therapist | 740 S. Placentia Ave. Suite 100, Placentia, CA 92870 | 2014-11-14 |
1144642109 | Christine Taheran | Nurse Practitioner | 120 Downey Lane, Placentia, CA 92870 | 2014-01-10 |
1851644587 | Peter Glickman | Ophthalmology | 1050 E Yorba Linda Blvd., Suite 205, Placentia, CA 92870 | 2012-10-18 |
1396003844 | Jaymie Coria, D.d.s., Inc | Dentist | 302 E. Palm Drive, Suite #a, Placentia, CA 92870 | 2012-05-02 |
1164798609 | Adelina Rachi | Occupational Therapist | 740 S. Placentia Ave., Suite 100, Placentia, CA 92870 | 2012-03-29 |
1023305067 | Patricia Inez Byrne | Registered Nurse | 2001-d E. Orangethorpe Ave., Placentia, CA 92870 | 2011-06-28 |
Find all providers in zip 92870 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316188030 | Mary Regina Pham | Dentist | 1041 E Yorba Linda Blvd Ste 206, Placentia, CA 92870-3760 | 2009-03-09 |
1477902112 | Kin Cho Wong | Dentist | 1041 E Yorba Linda Blvd Ste 206, Placentia, CA 92870-3763 | 2016-06-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790385227 | Johnson Ann Wong Dental Corporation | Dentist | 6512 N Figueroa St Ste 3, Los Angeles, CA 90042-2155 | 2020-10-26 |
1205440211 | Jessica Choi, Dmd, Dental Corporation | Dentist | 2318 Huntington Dr, San Marino, CA 91108-2641 | 2020-09-08 |
1659985802 | Rw Fattouch Dmd, Inc. | Dentist | 42210 Lyndie Ln Ste 100, Temecula, CA 92591-3604 | 2020-09-04 |
1174136998 | Armand Begian Dds Inc. | Dentist | 4021 Mission Oaks Blvd # 180, Camarillo, CA 93012-5156 | 2020-08-31 |
1164035473 | Armand Begian Dds Inc. | Dentist | 3687 Las Posas Rd Ste 180, Camarillo, CA 93010-1431 | 2020-08-26 |
1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
1396360384 | Drs Salem and Soliman Dental Corp | Dentist | 2119 E Hatch Rd Ste Bandc, Modesto, CA 95351-4814 | 2020-06-15 |
1689299471 | Abhishek Batra | Dentist | 11052 Evans St, Loma Linda, CA 92354-2709 | 2020-06-08 |
1194348060 | Bryan Chao | Dentist | 1895 Mowry Ave Ste 121, Fremont, CA 94538-1736 | 2020-05-26 |
1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.