THANH KIM PHAM


Address: 355 East 21st, Ste B, San Bernardino, CA 92404
Phone: 9098815787

THANH KIM PHAM (NPI# 1134287667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134287667
Entity Type Individual
Full Name THANH KIM PHAM
Credential DDS
Practice Address 355 East 21st
Ste B
San Bernardino
CA 92404
Practice Telephone 9098815787
Practice Fax Number 9098816855
Mailing Telephone 9098815787
Mailing Fax Number 9098816855
Enumeration Date 2006-12-05
Last Update Date 2013-09-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
44352 CA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA DENTICAL B4435201 01

Other Providers THANH PHAM

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1194235655 Thanh Pham Acupuncturist 142 Princeton Blvd, Lowell, MA 01851-2433 2017-10-10
1922551803 Thanh Duc Pham Dentist 2254 Levin St, Milpitas, CA 95035-2654 2016-07-27
1437565009 Thanh Kim Pham Pharmacist 12435 Beechnut St, Suite 107, Houston, TX 77072 2014-07-03
1063649267 Thanh Pham Dentist 127 High St, Clinton, MA 01510-2510 2009-06-15
1568670719 Thanh Tuyet Pham Dentist 6926 Little River Tpke Ste D, Annandale, VA 22003-3246 2007-05-20
1952465510 Thanh Duc Pham Chiropractor 4431 W Walnut St Ste C, Garland, TX 75042-4108 2006-12-20
1073685269 Thanh Hoai Pham Dentist 212 Clydesdale Trl Ste 1040, Medina, MN 55340-4585 2006-11-14
1538198221 Thanh V Pham Internal Medicine 30809 1st Ave S, Federal Way, WA 98003-4074 2006-07-03
1740251842 Thanh Huy Pham Optometrist 865 B St, Hayward, CA 94541-5107 2006-01-28
1285247049 Thanh Trung Pham Physician Assistant 4610 X St, Sacramento, CA 95817-2200 2020-08-30

Office Location

Street Address 355 EAST 21ST
STE B
City SAN BERNARDINO
State CA
Zip Code 92404

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740849363 Danniella Alexandra Murillo Physician Assistant 2101 North Waterman Ave, San Bernardino, CA 92404 2019-06-07
1902377484 Shauntel Renee Nelson Student in an Organized Health Care Education/Training Program 1481 N. Windsor Dr., San Bernardino, CA 92404 2018-12-10
1487123584 Garrett M Grigg Licensed Psychiatric Technician 1481 N Windsor Dr, San Bernardino, CA 92404 2018-11-19
1881163434 James Dean Anders Counselor 1481 Windsor Drive, San Bernardino, CA 92404 2018-11-13
1043703564 Samantha Makpaiboonvatana Optometrist 1909 N Waterman Ave Ste 3, San Bernardino, CA 92404 2018-06-09
1861981623 Christopher Windham Behavior Technician 2460 Fremontia Dr, San Bernardino, CA 92404 2018-05-08
1891145041 Cynthia Lusy Gastelum Marriage & Family Therapist 1885 E Lynwood Dr Rm Se3, San Bernardino, CA 92404 2016-06-20
1336598259 Foundation Enterprises LLC Non-emergency Medical Transport (VAN) 1663 Date Pl., #30390, San Bernardino, CA 92404 2016-06-10
1881042877 Helen Ann Thompson Speech-Language Pathologist 1311 E. State St., San Bernardo, CA 92404 2016-05-31
1366839938 Lanecia Richardson Counselor 135 Paul Drive, San Rafeal, CA 92404 2015-04-22
Find all providers in zip 92404

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124639901 Arutyun Mkrtchyan D.d.s. Inc Dentist 1655 N Mount Vernon Ave Unit B, San Bernardino, CA 92411-1427 2020-08-13
1316555261 Ryan Andrew Stitzinger Dentist 234 N D St, San Bernardino, CA 92401-1702 2020-07-16
1417506932 Rincon Dds and Associates Inc Dentist 1078 E Hospitality Ln, San Bernardino, CA 92408-2878 2019-09-06
1669036117 Feldkamp Cal Select Dental Group, Inc. Dentist 164 W Hospitality Ln Ste 127, San Bernardino, CA 92408-3316 2019-04-30
1609358845 Arteaga Dental Corporation Dentist 494 S Rancho Ave, San Bernardino, CA 92410-2144 2018-09-04
1295213239 Feldkamp Cal Select Dental Group, Inc. Dentist 164 W Hospitality Ln # 107, San Bernardino, CA 92408-3316 2018-08-01
1508370487 Katy Chou Dds Inc Dentist 1799 N Waterman Ave Ste C, San Bernardino, CA 92404-5107 2017-11-29
1700309184 Eric Williamson Dentist 328 Commercial Rd Ste 104, San Bernardino, CA 92408-3766 2017-07-18
1841741360 Esther Song Dentist 2672 S Carl Pl, San Bernardino, CA 92408-4182 2016-10-19
1578916029 Alexander Reimann Dentist 2665 Annapolis Cir, San Bernardino, CA 92408-4133 2016-07-20
Find all providers in SAN BERNARDINO

Competitor

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City SAN BERNARDINO
Zip Code 92404

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Dataset Information

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.

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