MR. PHONG THANH TRAN (NPI# 1497385736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497385736 |
| Entity Type | Individual |
| Full Name | MR. PHONG THANH TRAN |
| Credential | RDH |
| Practice Address |
599 A Ave #501 Oceanside CA 92058 |
| Mailing Address |
10082 Aldgate Ave Garden Grove CA 92840-1006 |
| Practice Telephone | 7607632106 |
| Mailing Telephone | 7144149943 |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2020-01-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467994798 | Phong Tran | Dentist | 4522 1/2 Rosemead Blvd, Pico Rivera, CA 90660-2057 | 2016-11-17 |
| 1235506817 | Phong Tran | Registered Nurse | 25 Helen St, Secaucus, NJ 07094-2010 | 2015-08-30 |
| 1255619953 | Phong Quoc Tran | Optometrist | 20103 Old Scenic Hwy Ste 2b, Zachary, LA 70791 | 2011-07-28 |
| 1538494331 | Phong Tran | Pharmacist | 4245 N Kolmar Ave, Chicago, IL 60641-1948 | 2009-10-12 |
| 1720243140 | Phong Thanh Tran | Dentist | 1450 S White Rd Ste 20, San Jose, CA 95127-4798 | 2008-07-24 |
| 1184609885 | Phong Hung Tran | Specialist | 15606 Brookhurst St, Suite A, Westminster, CA 92683-7581 | 2005-12-14 |
| 1144698044 | Phong Tran | Pharmacist | 500 Pamplico Hwy, Florence, SC 29505-6051 | 2015-09-09 |
| 1326340787 | Phong Tran | Pharmacist | 215 Whitesell St Nw, Orting, WA 98360-9329 | 2010-11-17 |
| 1205143443 | Phong Tran | Pharmacist | 4485 Perkins Rd, Baton Rouge, LA 70808-3034 | 2010-09-09 |
| 1932413036 | Phong V Tran | Pharmacist | 6405 Fayetteville Rd, Durham, NC 27713-8713 | 2010-07-30 |
| Street Address |
599 A AVE #501 |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463555 | Michael William Baker | Dental Hygienist | 14th St., Oceanside, CA 92058 | 2020-10-02 |
| 1548877004 | Juliaisa Gisselle Caldero | Dental Assistant | Bldg 13128, Oceanside, CA 92058 | 2020-09-29 |
| 1932715836 | Leilani Viveros | Behavior Technician | 251 Airprort Road, Oceanside, CA 92058 | 2020-09-17 |
| 1043835952 | Emma Caitlin Johnson | Dentist | 92055 14th St, Bldg 13128, Oceanside, CA 92058 | 2020-06-16 |
| 1073135836 | Roxana Ivette Rodriguez | Military Health Care Provider | 22190 Marine Dr, Oceanside, CA 92058 | 2020-05-14 |
| 1699307744 | Rachael Bousman | Specialist/Technologist | 13129 14th St, Area 13, Camp Pendleton, CA 92058 | 2020-02-06 |
| 1811528359 | Misaael Valdes | Military Health Care Provider | Building, B St, Oceanside, CA 92058 | 2020-02-03 |
| 1245796366 | Christian Thompson | Physician Assistant | 1st Med Bn, Camp Pendleton, Oceanside, CA 92058 | 2019-02-13 |
| 1104308568 | Caila Martin | Behavior Technician | 293 Douglas Dr Apt. 272, Oceanside, CA 92058 | 2018-09-02 |
| 1831688035 | Stratihealth, Inc | Clinic/Center | 212 Mescalita Ct, Oceanside, CA 92058 | 2018-05-03 |
| Find all providers in zip 92058 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194325597 | Connie Lim Good | Dental Hygienist | 14th Street Bldg 13128, Oceanside, CA 92055 | 2020-10-27 |
| 1235737164 | Tynesha Felice Calimquim | Dental Hygienist | Naval Hospital Camp Pendleton, Dental Department, 200 Mercy Circle, Oceanside, CA 92055 | 2020-10-13 |
| 1508463555 | Michael William Baker | Dental Hygienist | 14th St., Oceanside, CA 92058 | 2020-10-02 |
| 1477908143 | Sanaz M Azimi Sadjadi | Dental Hygienist | 430 Via Cruz, Oceanside, CA 92057-8521 | 2016-04-29 |
| 1548542558 | Jennifer Ann Wermers | Dental Hygienist | 4824 Contour Court, Oceanside, CA 92057 | 2011-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841046 | Betty Satomi Fukumoto | Dental Hygienist | 16008 S Manhattan Pl, Gardena, CA 90247-3681 | 2020-11-08 |
| 1417558180 | Maria Antonette De Lara Kim | Dental Hygienist | 66 S San Gorgonio Ave Ste 5, Banning, CA 92220-6020 | 2020-11-07 |
| 1083215982 | Sokbunntha Yan | Dental Hygienist | 5810 Fidler Ave, Lakewood, CA 90712-1251 | 2020-11-06 |
| 1649871914 | Maryam Ghahramani Shahneshin | Dental Hygienist | 1961 Grove Pl, Escondido, CA 92027-4101 | 2020-11-04 |
| 1285234047 | Maryann Detar | Dental Hygienist | 3154 Alum Rock Ave, San Jose, CA 95127-2903 | 2020-10-29 |
| 1336748896 | Cynthia Garcia Macdougall | Dental Hygienist | 444 Hermosa Ave Apt 302, Hermosa Beach, CA 90254-4433 | 2020-10-25 |
| 1346849163 | Ambrosia Evon Steljes | Dental Hygienist | Building 13128 14th Street, Camp Pendleton, CA 92055-5221 | 2020-10-22 |
| 1427657261 | Julie Lynn March | Dental Hygienist | 19871 Mitscher Way Bldg 2495, San Diego, CA 92145-5103 | 2020-10-22 |
| 1386243327 | Leticia Isabel Alcantar | Dental Hygienist | Bldg 520448, Camp Pendleton, CA 92055 | 2020-10-21 |
| 1063011120 | Pamela Ann Reid-williams | Dental Hygienist | 4155 Spillman Dr, San Diego, CA 92105-5207 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
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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.