PETER PHAM DDS
NPI 1114084597
Dentist - General Practice in Los Angeles, CA

Q: What is Peter Pham's NPI number?

The NPI number for Peter Pham is 1114084597. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Q: What is Peter Pham's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Peter Pham was last updated on February 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since January 03, 2007

1257 BROCKTON AVE UNIT 101, LOS ANGELES, CA 90025(310) 486-8500 Get Directions Write a Review

NPPES record last updated: February 3, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Peter Pham Dds NPPES

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

PETER PHAM DDS (NPI 1114084597) is an individual general practice provider in Los Angeles, California, licensed in California (53936) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1114084597

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NamePETER PHAMCredential: DDS

Location Address1257 BROCKTON AVE UNIT 101Los Angeles, CA 90025-7724

Mailing Address1257 Brockton Ave Unit 101Los Angeles, CA 90025-7724 · (310) 486-8500

Phone(310) 486-8500

Sole ProprietorNo

Enumeration DateJanuary 3, 2007

Last NPPES UpdateFebruary 3, 2009

✔ NPI 1114084597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 53936

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.

1257 BROCKTON AVE UNIT 101, Los Angeles, CA 90025

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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 ›

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 Peter Pham's NPI number?

The NPI number for Peter Pham is 1114084597. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Peter Pham located?

Peter Pham practices at 1257 Brockton Ave Unit 101, Los Angeles, CA 90025. The listed phone number is (310) 486-8500.

What is Peter Pham's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Peter 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 4 other insurers list Peter 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 Peter Pham was last updated on February 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.