DR. DIEU QUANG PHAM M.D., D.D.S.
NPI 1205856598
Oral & Maxillofacial Surgery in Fountain Valley, CA

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment
17150 EUCLID ST STE 319, FOUNTAIN VALLEY, CA 92708(714) 444-2274(714) 444-2034 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Dieu Quang Pham M.d., D.d.s. NPPES

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

DR. DIEU QUANG PHAM M.D., D.D.S. (NPI 1205856598) is an individual oral & maxillofacial surgery provider in Fountain Valley, California, licensed in California (A85351) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (2002).

NPPES Registry Identity

NPI1205856598
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. DIEU QUANG PHAMCredential: M.D., D.D.S.
Location Address17150 EUCLID ST STE 319Fountain Valley, CA 92708-4092
Mailing Address17150 Euclid St Ste 319Fountain Valley, CA 92708-4092 · (714) 444-2274 · Fax (714) 444-2034
Fax(714) 444-2034
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2002
Enumeration DateJuly 20, 2006
Last NPPES UpdateDecember 3, 2021
NPI 1205856598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License Licensed in CA · A85351
Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

17150 EUCLID ST STE 319, Fountain Valley, CA 92708

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Dieu Quang Pham M.d., D.d.s. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052628971
PECOS Enrollment IDI20150909002776
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Oral and Maxillofacial Surgery)
17150 EUCLID ST STE 319
FOUNTAIN VALLEY, CA 92708
Dentist
17150 EUCLID ST STE 319
FOUNTAIN VALLEY, CA 92708

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 Dieu Pham's NPI number?

The NPI number for Dieu Pham is 1205856598. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Dieu Pham located?

Dieu Pham practices at 17150 Euclid St Ste 319, Fountain Valley, CA 92708. The listed phone number is (714) 444-2274.

What is Dieu Pham's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Dieu Pham enrolled in Medicare?

Yes. Dieu Pham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Dieu Pham was last updated on December 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.