MR. PETER NGOC PHAM (NPI# 1487795530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487795530 |
| Entity Type | Individual |
| Full Name | MR. PETER NGOC PHAM |
| Credential | D.D.S. |
| Practice Address |
150 N Jackson Ave Ste 109 San Jose CA 95116-1908 |
| Practice Telephone | 4089263550 |
| Practice Fax Number | 4089263359 |
| Mailing Telephone | 4089263550 |
| Mailing Fax Number | 4089263359 |
| Enumeration Date | 2007-02-10 |
| Last Update Date | 2012-09-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
45753 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720420250 | Peter Nhat Vinh Pham | Dentist | 41 Weathering Crk, San Antonio, TX 78238-2409 | 2013-07-25 |
| 1063708576 | Peter Pham | Hospitalist | 29 Silver Brook Dr, Bridgeton, NJ 08302-9407 | 2011-06-22 |
| 1194022111 | Peter H Pham | Dentist | 18220 Yorba Linda Blvd Ste 305, Yorba Linda, CA 92886-4032 | 2011-02-28 |
| 1114084597 | Peter Pham | Dentist | 1257 Brockton Ave Unit 101, Los Angeles, CA 90025-7724 | 2007-01-03 |
| 1356447304 | Peter Cong Pham | Dentist | 1409 13th St, Altoona, PA 16601-3409 | 2006-09-16 |
| 1548869407 | Peter Nguyen Pham | Dentist | 2288 Daniels St, Manteca, CA 95337-6706 | 2020-10-21 |
| 1720604952 | Peter Pham | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2020-06-23 |
| 1104386853 | Peter Pham | Internal Medicine | 1000 Blythe Blvd, Charlotte, NC 28203-5871 | 2019-03-20 |
| 1366908543 | Peter Pham | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2019-02-13 |
| 1447734587 | Peter Hong Phuc Pham | Behavior Technician | 2730 Shadelands Dr Bldg 10, Walnut Creek, CA 94598-2538 | 2018-09-24 |
| Street Address |
150 N JACKSON AVE STE 109 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95116-1908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821570102 | Lori Chung Cho Dmd Inc. | Clinic/Center | 150 N Jackson Ave Ste 103, San Jose, CA 95116 | 2018-09-03 |
| 1306333174 | Patrick Suezaki | Dentist | 250 Montclair Ave Ste C, San Jose, CA 95116 | 2018-04-17 |
| 1871016147 | Israel Enrique Ruiz Lora | Social Worker | 1075 East Santa Clara, San Jose, CA 95116 | 2017-07-19 |
| 1275072613 | Araceli Yazmin Garcia | Case Manager/Care Coordinator | 1652 E San Fernando St, San Jose, CA 95116 | 2017-02-17 |
| 1710304712 | Natalie K. Huynh D.d.s Inc. | Dentist | 2340 Mckee Rd #24, San Jose, CA 95116 | 2014-03-27 |
| 1437597747 | Ian Ellis Mccoy | Internal Medicine | 2360 Mckee Rd Ste 10, San Jose, CA 95116 | 2013-06-08 |
| 1588913321 | Adrian Fernandez | Counselor | 1245 East Santa Clara Street, San Jose, CA 95116 | 2012-09-07 |
| 1851678841 | Krystal Lani Subia | Counselor | 101 Jose Figueres Avenue, San Jose, CA 95116 | 2011-11-04 |
| 1255668224 | Sophia O.j.m. Dijkstra | Physical Therapist | 180 N. Jackson Ave, San Jose, CA 95116 | 2009-11-11 |
| 1255562096 | Jovan De Guzman Sedilla | Physical Therapy Assistant | 180 N. Jackson Ave., San Jose, CA 95116 | 2009-07-28 |
| Find all providers in zip 95116 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023623865 | Nguyen and Tran Dental Corporation | Dentist | 6130 Hellyer Avenue, San Jose, CA 95138 | 2020-09-09 |
| 1699307835 | Simranpreet Kaur | Dentist | 3323 Arqueado Dr, San Jose, CA 95148-2106 | 2020-02-05 |
| 1629616479 | Colin S. Ilas D.d.s. | Dentist | 1206 N Capitol Ave Ste 101, San Jose, CA 95132-2572 | 2019-12-11 |
| 1376197848 | Mariam Samir Abadir | Dentist | 1670 Westwood Dr. Suite K, San Jose, CA 95125 | 2019-08-01 |
| 1427601400 | Parisa Radi | Dentist | 7318 Glenview Dr, San Jose, CA 95120-5806 | 2019-07-19 |
| 1346802469 | Trammie Bui D.d.s., Inc | Dentist | 228 N Jackson Ave Ste 50, San Jose, CA 95116-1602 | 2019-06-29 |
| 1922669597 | Tracy Filler, Dmd, Inc. | Dentist | 1569 Lexann Drive, Suite 202, San Jose, CA 95121 | 2019-06-25 |
| 1508346818 | Lai and Wu Dental Corp | Dentist | 670 River Oaks Pkwy Ste J, San Jose, CA 95134-1988 | 2018-08-16 |
| 1477039998 | Jae Hyuk Yun | Dentist | 651 Eden Ave, San Jose, CA 95117-2209 | 2018-07-18 |
| 1699260935 | Rodolfo Hernandez Morales | Dentist | 171 George St, San Jose, CA 95110-2118 | 2018-06-28 |
| Find all providers in SAN JOSE | ||||
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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.