TUAN PHAM DDS
NPI 1639396260
Dentist - General Practice in San Bernardino, CA

Q: What is Tuan Pham's NPI number?

The NPI number for Tuan Pham is 1639396260. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Q: What is Tuan 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 Tuan Pham was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 April 18, 2007PECOS Enrolled

164 W HOSPITALITY LN STE 14, SAN BERNARDINO, CA 92408(909) 888-7817(909) 888-5280 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tuan Pham Dds NPPES

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

TUAN PHAM DDS (NPI 1639396260) is an individual general practice provider in San Bernardino, California, licensed in California (54023) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639396260

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameTUAN PHAMCredential: DDS

Location Address164 W HOSPITALITY LN STE 14San Bernardino, CA 92408-3329

Mailing AddressPo Box 6950San Bernardino, CA 92412-6950 · (909) 888-7817 · Fax (909) 888-8250

Phone(909) 888-7817

Fax(909) 888-5280

Sole ProprietorYes

Enumeration DateApril 18, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1639396260 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 · 54023

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.

164 W HOSPITALITY LN STE 14, San Bernardino, CA 92408

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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

✔

Enrolled in Medicare (PECOS)

Tuan Pham Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92408 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

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 10

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

STANLEY E TRAMMELL DDS

Dentist (General Practice)