DR. SON G PHAM (NPI# 1356436570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356436570 |
Entity Type | Individual |
Full Name | DR. SON G PHAM |
Credential | DDS |
Practice Address |
8735 Trautwein Rd Riverside CA 92508 |
Mailing Address |
2860 Michelle Drive 2nd Floor Irvine CA 92606 |
Practice Telephone | 9517761330 |
Practice Fax Number | 9517761388 |
Mailing Telephone | 7145083600 |
Mailing Fax Number | 7143682092 |
Enumeration Date | 2006-10-04 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
49975 | CA | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396376000 | Son Thien Pham | Pharmacist | 2575 E Riles Cir, Anaheim, CA 92806-5610 | 2020-01-31 |
1962661744 | Son Ngoc Pham | Dentist | 565 Contra Costa Blvd, Suite B, Pleasant Hill, CA 94523-1259 | 2008-06-05 |
1558650127 | Son Phuong Pham | Emergency Medicine | 633d Medical Group, 77 Nealy Ave, Hampton, VA 23665-2040 | 2011-04-04 |
1730491275 | Son Pham | Pharmacist | 4215 S Carrier Pkwy, Grand Prairie, TX 75052-3203 | 2010-07-13 |
1275516890 | Son Van Pham | Internal Medicine | 7400 Merton Minter St, San Antonio, TX 78229-4404 | 2005-11-29 |
Street Address |
8735 TRAUTWEIN RD |
City | RIVERSIDE |
State | CA |
Zip Code | 92508 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093818288 | Jose S. Castro Jr. | Dentist | 8735 Trautwein Rd, Riverside, CA 92508-9474 | 2006-09-06 |
1902384415 | Vian G Tarzi | Dentist | 8735 Trautwein Rd, Riverside, CA 92508-9474 | 2018-08-06 |
1417403395 | Isaac Sun | Dentist | 8735 Trautwein Rd, Riverside, CA 92508-9474 | 2016-08-30 |
1467873331 | Gregory William Carr | Dentist | 8735 Trautwein Rd, Riverside, CA 92508-9474 | 2013-12-19 |
1467885780 | Purvi Girish Shah | Dentist | 8735 Trautwein Rd, Riverside, CA 92508-9474 | 2013-08-11 |
1598864738 | Lynda Watanabe Professional Dental Corporation | Dentist | 8735 Trautwein Rd, Riverside, CA 92508-9474 | 2006-09-22 |
1730285149 | Judith Aldaz | Dentist | 8735 Trautwein Rd, Riverside, CA 92508-9474 | 2006-09-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699257121 | Careconnexus, LLC | Non-emergency Medical Transport (VAN) | 9338 Millionaire Lane, Riverside, CA 92508 | 2018-08-31 |
1003265117 | Travis William Cruz | Physician Assistant | 9525 Los Amigos Court, Riverside, CA 92508 | 2016-06-09 |
1043610769 | Mountain Vista Medical Center | General Acute Care Hospital | 8168 Palm View Ln, Riverside, CA 92508 | 2014-08-29 |
1952642399 | John Lawrence Bowers | Marriage & Family Therapist | 19900 Grove Community Drive, Riverside, CA 92508 | 2013-03-11 |
1952605248 | Dennis Graves | Counselor | 17270 Roosevelt Ave, Riverside, CA 92508 | 2011-01-01 |
1811207632 | Bekele T Haimanot | Physician Assistant | 9528 Los Coches Court, Riverside, CA 92508 | 2010-10-14 |
1518144625 | Irene T. Zaki | Dentist | 20873 Grove Community Dr., Riverside, CA 92508 | 2008-01-31 |
1093902447 | Edward Keith Forward | Specialist | 18167 Kross Rd, Riverside, CA 92508 | 2007-10-01 |
1255523593 | Sopheap Tang | Dentist | 18876 Van Buren Blvd, Ste 107, Riverside, CA 92508 | 2007-08-10 |
1942336995 | Ching-roo Chi | Dentist | 473 E. Allessandro Blvd., Suite A, Riverside, CA 92508 | 2007-02-26 |
Find all providers in zip 92508 |
Taxonomy Code | 1223X0400X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Orthodontics and Dentofacial Orthopedics |
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245697473 | Ronald Simus I | Dentist | 7170 Indiana Ave, Riverside, CA 92504-4544 | 2016-01-19 |
1538460811 | Lee Eugene Olsen | Dentist | 3564 Van Buren Blvs, Riverside, CA 92503 | 2010-11-03 |
1043540164 | Rosa Peng | Dentist | 10600 Magnolia Ave Ste A, Riverside, CA 92505-1819 | 2010-01-12 |
1164674859 | Carrie Akemi Imoto | Dentist | 3511 Madison St, Riverside, CA 92504-3739 | 2008-10-14 |
1871755652 | Dr.h.c.ahuja Dds A P C | Dentist | 4959 Arlington Ave Ste H, Riverside, CA 92504-2756 | 2008-07-02 |
1063613842 | Michael Chad Hawkins | Dentist | 3511 Madison Ave Suite F, Riverside, CA 92504 | 2007-05-30 |
1740492081 | Larry B. Crawford | Dentist | 301 E Alessandro Blvd Ste 3b, Riverside, CA 92508-2464 | 2007-05-06 |
1013035153 | C Douglas Fowler Dds Inc | Dentist | 6850 Brockton Avenue, Suite 103, Riverside, CA 92506-3826 | 2007-03-27 |
1750405288 | E Jan Davidian | Dentist | 6886 Indiana Ave, Riverside, CA 92506-4218 | 2007-03-19 |
1528120797 | Hongsheng Sam Tong | Dentist | 11705 Slate Ave Ste 150, Riverside, CA 92505-7119 | 2006-12-14 |
Find all providers in RIVERSIDE |
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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.