PETER NGUYEN PHAM (NPI# 1548869407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548869407 |
| Entity Type | Individual |
| Full Name | PETER NGUYEN PHAM |
| Credential | DDS |
| Practice Address |
2288 Daniels St Manteca CA 95337-6706 |
| Practice Telephone | 2094565610 |
| Mailing Telephone | 2094565610 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 105741 | 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 |
| 1487795530 | Peter Ngoc Pham | Dentist | 150 N Jackson Ave Ste 109, San Jose, CA 95116-1908 | 2007-02-10 |
| 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 |
| 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 |
2288 DANIELS ST |
| City | MANTECA |
| State | CA |
| Zip Code | 95337-6706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841471299 | Robert P. Nakaki Dental Corporation | Dentist | 2288 Daniels St, Manteca, CA 95337-6706 | 2007-11-14 |
| 1750934865 | Yi Yang | Dentist | 2288 Daniels St, Manteca, CA 95337-6706 | 2019-07-17 |
| 1841772050 | Kevin Ho | Dentist | 2288 Daniels St, Manteca, CA 95337-6706 | 2018-09-04 |
| 1316424831 | Anmol Bhangu | Dentist | 2288 Daniels St, Manteca, CA 95337-6706 | 2018-07-26 |
| 1558847079 | Seung Ho Chung | Dentist | 2288 Daniels St, Manteca, CA 95337-6706 | 2018-07-18 |
| 1629592977 | Ashneet Kaur | Dentist | 2288 Daniels St, Manteca, CA 95337-6706 | 2017-07-28 |
| 1689044679 | Eun Jin Park | Dentist | 2288 Daniels St, Manteca, CA 95337-6706 | 2015-10-02 |
| 1992187611 | Kuanyu Lin | Dentist | 2288 Daniels St, Manteca, CA 95337-6706 | 2015-06-19 |
| 1962750166 | Eunji Park | Dentist | 2288 Daniels St, Manteca, CA 95337 | 2012-08-17 |
| 1205117421 | Seung Jae Lee | Dentist | 2288 Daniels St, Manteca, CA 95337-6706 | 2011-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225640485 | Shanitta D Hines | Counselor | Victor Community Support Services, 302 Cherry Lane, CA 95337 | 2020-08-19 |
| 1548658685 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 401 S Airport Way, Manteca, CA 95337 | 2014-12-23 |
| 1225430655 | Elizabeth Julia Ann Tyner | Hearing Instrument Specialist | 1079 Eucalyptus, Suite B, Manteca, CA 95337 | 2014-09-17 |
| 1134565740 | Aegis Treatment Centers, LLC | Clinic/Center | 955 W. Center Street, Suites 12a, 12b & 14, Manteca, CA 95337 | 2013-05-22 |
| 1053668947 | Roger Cabo Inciong | Physical Therapist | 3652 Rapallo Way, Manteca, CA 95337 | 2012-08-09 |
| 1295997757 | Costco Wholesale Corporation | Pharmacy | 2440 Daniels St, Manteca, CA 95337 | 2008-06-26 |
| 1255474235 | Carmen Catherine Nunes | Marriage & Family Therapist | 1771 Yosemite Ave., Manteca, CA 95337 | 2007-02-15 |
| 1063577062 | Kathy Laverne Barron | Counselor | 1789 W. Yosemite Ave., Sierra Building, 1st Floor, Manteca, CA 95337 | 2006-12-27 |
| 1891853149 | R. Ciccarelli, Dds., R. Joseph, Dds., M. El Farra, Dds., D. Saini, Dds | Dentist | 1507 W. Yosemite, Manteca, CA 95337 | 2006-12-05 |
| 1467528265 | Annie Mathew | Pharmacist | 1777 West Yosemite Ave, Manteca, CA 95337 | 2006-11-27 |
| Find all providers in zip 95337 | ||||
| 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 |
|---|---|---|---|---|
| 1215389069 | Sanjay Kumar Vanjarapu Dds PC | Dentist | 295 Spreckels Ave, Manteca, CA 95336-6005 | 2016-07-05 |
| 1326489196 | Rushi J Sanghani | Dentist | 626 E Yosemite Ave, Manteca, CA 95336-5826 | 2013-07-09 |
| 1558503060 | Munoz, Forbes, Souza, Lee, Kano & Conley A Dental Corp. | Dentist | 529 E Center St, Manteca, CA 95336-4719 | 2009-03-30 |
| 1730328972 | Western Dental Services, Inc. | Dentist | 1332 E. Yosemite Ave., Manteca, CA 95336 | 2009-02-11 |
| 1922256536 | Sean Sangalang | Dentist | 123 E North St, Manteca, CA 95336-4608 | 2008-09-08 |
| 1013042688 | Everett L. Low | Dentist | 415 N. Main St., Manteca, CA 95336 | 2007-02-22 |
| 1891853149 | R. Ciccarelli, Dds., R. Joseph, Dds., M. El Farra, Dds., D. Saini, Dds | Dentist | 1507 W. Yosemite, Manteca, CA 95337 | 2006-12-05 |
| 1194811778 | El Rasheed Khalifa | Dentist | 1509 W Yosemite Ave Ste B, Manteca, CA 95337-5165 | 2006-10-04 |
| 1265040141 | Shereef Elkhatib | Dentist | 1507 W Yosemite Ave, Manteca, CA 95337-5182 | 2020-07-16 |
| 1750934865 | Yi Yang | Dentist | 2288 Daniels St, Manteca, CA 95337-6706 | 2019-07-17 |
| Find all providers in MANTECA | ||||
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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.