1. Home
  2. Directory
  3. California
  4. Santa Barbara
  5. Dentist
  6. NPI Profile

DR. JUSTINA SULLIVAN PHAM DDS
NPI 1386831550
Dentist - General Practice in Santa Barbara, CA

Active since October 01, 2007Opted out of Medicare · through Dec 14, 2027
2780 STATE STREET, SUITE 12, SANTA BARBARA, CA 93105(805) 687-1411(805) 687-1429 Get Directions Write a Review

NPPES record last updated: July 31, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Justina Sullivan Pham Dds NPPES

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

DR. JUSTINA SULLIVAN PHAM DDS (NPI 1386831550) is an individual general practice provider in Santa Barbara, California, licensed in California (48855) and active in the NPI registry since October 2007. She has opted out of Medicare through December 14, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1386831550
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JUSTINA SULLIVAN PHAMCredential: DDS
Location Address2780 STATE STREET, SUITE 12Santa Barbara, CA 93105
Mailing Address2780 State Street, Suite 12Santa Barbara, CA 93105 · (805) 687-1411 · Fax (805) 687-1429
Phone(805) 687-1411
Fax(805) 687-1429
Sole ProprietorNo
Enumeration DateOctober 1, 2007
Last NPPES UpdateJuly 31, 2013
✔ NPI 1386831550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 48855
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.
Also ListedDentistTaxonomy 122300000X · License 48855 (CA)
2780 STATE STREET, Santa Barbara, CA 93105
Open in Google Maps ↗

Other Names 1

Former Name (1)Justina Melissa Sullivan Dds

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Justina Sullivan Pham Dds 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 December 14, 2015 through December 14, 2027.

Opt-Out Effective DateDecember 14, 2015
Opt-Out In Effect ThroughDecember 14, 2027Opt-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 93105 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
$94.71 typical visit price
range $62.01 – $184.40
Typical copayment $23.67 (range $15.50 – $46.10)
Most-billed visit code 99203
Established Patient
$76.76 typical visit price
range $20.60 – $151.20
Typical copayment $19.19 (range $5.15 – $37.80)
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.

Other Providers at the Same Location NPPES

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

DR. ALEX J TRIGONIS DDS MS
Dentist (Orthodontics and Dentofacial Orthopedics)
2780 STATE STREET, SUITE #4
SANTA BARBARA, CA 93105
Santa Barbara County (805) 687-5561

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 Justina Pham's NPI number?

The NPI number for Justina Pham is 1386831550. It was assigned to this individual provider in the NPPES registry on October 1, 2007. The provider is also known as Justina Melissa Sullivan Dds.

Where is Justina Pham located?

Justina Pham practices at 2780 State Street Suite 12, Santa Barbara, CA 93105. The listed phone number is (805) 687-1411.

What is Justina Pham's specialty?

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

Is Justina Pham enrolled in Medicare?

No. Justina Pham has opted out of Medicare through December 14, 2027. 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.

When was this NPI record last updated?

The NPPES record for Justina Pham was last updated on July 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.