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DR. ELISE PHAM DMD
NPI 1093199598
Dentist in Aliso Viejo, CA

Active since July 14, 2015Opted out of Medicare · through May 16, 2028
30 ROSY FINCH LN, ALISO VIEJO, CA 92656(949) 357-3700 Get Directions Write a Review

NPPES record last updated: July 14, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Elise Pham Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ELISE PHAM DMD (NPI 1093199598) is an individual dentist in Aliso Viejo, California, licensed in California (64724) and active in the NPI registry since July 2015. She has opted out of Medicare through May 16, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1093199598
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. ELISE PHAMCredential: DMD
Location Address30 ROSY FINCH LNAliso Viejo, CA 92656-1814
Mailing Address30 Rosy Finch LnAliso Viejo, CA 92656-1814 · (949) 357-3700
Phone(949) 357-3700
Sole ProprietorNo
Enumeration DateJuly 14, 2015
✔ NPI 1093199598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 64724
Definition
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.
30 ROSY FINCH LN, Aliso Viejo, CA 92656
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Elise Pham Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 16, 2022 through May 16, 2028.

Opt-Out Effective DateMay 16, 2022
Opt-Out In Effect ThroughMay 16, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92656 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elise Pham's NPI number?

The NPI number for Elise Pham is 1093199598. It was assigned to this individual provider in the NPPES registry on July 14, 2015.

Where is Elise Pham located?

Elise Pham practices at 30 Rosy Finch Ln, Aliso Viejo, CA 92656. The listed phone number is (949) 357-3700.

What is Elise Pham's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Elise Pham enrolled in Medicare?

No. Elise Pham has opted out of Medicare through May 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Elise Pham accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Elise Pham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elise Pham was last updated on July 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.