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DR. NICOLE B. PHAM D.D.S.
NPI 1619100468
Dentist - General Practice in San Gabriel, CA

Active since August 27, 2009
1788 S SAN GABRIEL BLVD, #103, SAN GABRIEL, CA 91776(626) 203-7553(626) 445-8126 Get Directions Write a Review

NPPES record last updated: August 27, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Nicole B. Pham D.d.s. NPPES

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

DR. NICOLE B. PHAM D.D.S. (NPI 1619100468) is an individual general practice provider in San Gabriel, California, licensed in California (39320) and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1619100468
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. NICOLE B. PHAMCredential: D.D.S.
Location Address1788 S SAN GABRIEL BLVD, #103San Gabriel, CA 91776-3978
Mailing Address888 San Vicente RdArcadia, CA 91007-6038 · (626) 203-7553 · Fax (626) 445-8126
Phone(626) 203-7553
Fax(626) 445-8126
Sole ProprietorYes
Enumeration DateAugust 27, 2009
✔ NPI 1619100468 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 · 39320
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.
1788 S SAN GABRIEL BLVD, San Gabriel, CA 91776
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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.

DR. THANH QUYNH NGUYEN-VU D.D.S.
Dentist (General Practice)
1788 S SAN GABRIEL BLVD, SUITE 103
SAN GABRIEL, CA 91776
Los Angeles County (626) 312-9533
QIN YAO PT
Physical Therapist
1788 S SAN GABRIEL BLVD
SAN GABRIEL, CA 91776
Los Angeles County (626) 656-6253

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 Nicole Pham's NPI number?

The NPI number for Nicole Pham is 1619100468. It was assigned to this individual provider in the NPPES registry on August 27, 2009.

Where is Nicole Pham located?

Nicole Pham practices at 1788 S San Gabriel Blvd #103, San Gabriel, CA 91776. The listed phone number is (626) 203-7553.

What is Nicole Pham's specialty?

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

When was this NPI record last updated?

The NPPES record for Nicole Pham was last updated on August 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.