DR. TRACY PHAM (NPI# 1134649890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134649890 |
| Entity Type | Individual |
| Full Name | DR. TRACY PHAM |
| Credential | DMD |
| Practice Address |
4000 W Florida Ave Hemet CA 92545 |
| Mailing Address |
6251 El Palomino Dr Riverside CA 92509-6143 |
| Practice Telephone | 9512600037 |
| Mailing Telephone | 7148783639 |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2018-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 102321 | CA | Dental Providers |
| N | 122300000X | Dentist | 6926 | NV | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6160 W Tropicana Ave Ste E1, Las Vegas, NV 891034696 | 7025175873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164973822 | Tracy Pham | Pharmacist | 1750 Pacific Ave # A, Long Beach, CA 90813-1715 | 2016-10-18 |
| 1922608793 | Tracy Tram Pham | Pharmacist | 700 E Ennis Ave, Ennis, TX 75119-4209 | 2020-10-29 |
| 1104314392 | Tracy Pham | Pharmacist | 210 Mount Hermon Rd, Scotts Valley, CA 95066-4009 | 2018-04-24 |
| 1437694627 | Tracy Pham | Registered Nurse | 9451 Indianapolis Ave, Huntington Beach, CA 92646-5955 | 2016-12-27 |
| 1760844047 | Tracy Do Thuc Pham | Student in an Organized Health Care Education/Training Program | 275 W Macarthur Blvd, Oakland, CA 94611-5641 | 2016-03-24 |
| 1649676461 | Tracy Pham | Pharmacist | 3030 Harbor Blvd Ste A, Costa Mesa, CA 92626-2564 | 2014-11-05 |
| 1760725873 | Tracy Hoa Pham | Occupational Therapist | 400 S 43rd St, Renton, WA 98055-5714 | 2013-03-27 |
| 1255625034 | Tracy T Pham | Pharmacist | 2270 N Bellflower Blvd, Long Beach, CA 90815-2017 | 2011-06-08 |
| 1538322367 | Tracy Pham | Pharmacist | 7300 N Fresno St, Fresno, CA 93720-2941 | 2008-07-02 |
| 1619166147 | Tracy L. Pham | Pediatrics | 275 W Macarthur, Oakland, CA 94611-5641 | 2007-10-22 |
| Street Address |
4000 W FLORIDA AVE |
| City | HEMET |
| State | CA |
| Zip Code | 92545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033225529 | John C Nosti | Dentist | 4000 W Florida Ave, Hemet, CA 92545-5279 | 2006-08-21 |
| 1326569211 | Susan Choi | Dentist | 4000 W Florida Ave, Hemet, CA 92545-5279 | 2017-06-29 |
| 1609243617 | Tan Trinh | Dentist | 4000 W Florida Ave, Hemet, CA 92545-5279 | 2015-08-25 |
| 1538536719 | Dao Anh Nguyen | Dentist | 4000 W Florida Ave, Hemet, CA 92545-5279 | 2015-08-24 |
| 1457733529 | Manerva Jeanette Hart | Dentist | 4000 W Florida Ave, Hemet, CA 92545-5279 | 2015-06-24 |
| 1245317080 | Frederick Lee | Dentist | 4000 W Florida Ave, Hemet, CA 92545-5279 | 2006-11-01 |
| 1740389162 | Lee Watanabe and Nosti Dental Corporation | Dentist | 4000 W Florida Ave, Hemet, CA 92545-5279 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922612449 | Curtis Eugene Dossmcdaniel IIi | Dental Assistant | 3027 W Flordia Ave, Hemet, CA 92545 | 2020-09-02 |
| 1780206565 | Kevin Michael Brown Chiropractic Corp | Physical Therapist | 2940 W. Floria Ave., Suite B, Hemet, CA 92545 | 2020-05-14 |
| 1093341455 | Rainbow View Senior Care Lpa, LLC | Assisted Living Facility | 4170 Rainbow View Way, Hemet, CA 92545 | 2020-03-18 |
| 1265082408 | Laura Artechi | Technician | 422 Callle Fortuna, Hemet, CA 92545 | 2019-09-19 |
| 1134781503 | Fjs Hearing Professionals | Hearing Instrument Specialist | 3603 W. Flordia Ave., Hemet, CA 92545 | 2019-07-05 |
| 1447781083 | Jessica Marie Celis | Behavior Technician | 632 San Marino St, Hemet, CA 92545 | 2017-03-24 |
| 1902270507 | Hany Mohamed Dawoud Soliman | Dentist | 3027 W.florida Ave., Hemet, CA 92545 | 2015-11-19 |
| 1235502832 | Emelita Morales Price | Nursing Home Administrator | 2771 Cambridge Ave, Hemet, CA 92545 | 2015-11-04 |
| 1669845475 | Mohamed Khalaf | Pharmacist | 260n Sanderson, Hemet, CA 92545 | 2015-11-03 |
| 1730477019 | Mercy Air Service Inc | Ambulance | 1035 S Cawston Ave, Hemet, CA 92545 | 2011-07-20 |
| Find all providers in zip 92545 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881187995 | Hawatmeh Dental Group PC | Dentist | 1300 E Florida Ave # A20, Hemet, CA 92544-8640 | 2018-06-13 |
| 1699264473 | Hart and Lee Dental Corporation | Dentist | 1115 S Sanderson Ave, Hemet, CA 92545-9047 | 2018-05-07 |
| 1972026920 | Cohen Sedgh, Manavi & Pakravan Dental Corp | Dentist | 3027 W Florida Ave # P-1, Hemet, CA 92545-3617 | 2017-07-21 |
| 1902270507 | Hany Mohamed Dawoud Soliman | Dentist | 3027 W.florida Ave., Hemet, CA 92545 | 2015-11-19 |
| 1700277746 | Wayment Dental Corp | Dentist | 995 Saint John Pl Ste A, Hemet, CA 92543-4436 | 2015-02-12 |
| 1518358910 | Nathan Jergensen | Dentist | 1031 E Latham Ave Ste 2, Hemet, CA 92543-4425 | 2015-02-07 |
| 1699177048 | Douglas Trent Jepson | Dentist | 810 Saint John Place, Suite C, Hemet, CA 92543 | 2014-09-17 |
| 1457602146 | Jamal Dental Corporation | Dentist | 255 N Gilbert St Ste C1, Hemet, CA 92543-4078 | 2012-09-21 |
| 1154690071 | L.j. Oakes Dds, Inc. | Dentist | 720 E Latham Ave Ste 3, Hemet, CA 92543-4371 | 2011-12-21 |
| 1770878738 | George Makar Dds Inc | Dentist | 920 N State St, Hemet, CA 92543-1473 | 2011-06-17 |
| Find all providers in HEMET | ||||
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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.