JEREMY HUY PHAM DDS
NPI 1679912281
Dentist in Moreno Valley, CA

Q: What is Jeremy Pham's NPI number?

The NPI number for Jeremy Pham is 1679912281. It was assigned to this individual provider in the NPPES registry on June 17, 2013.

Q: What is Jeremy Pham's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jeremy Pham was last updated on July 24, 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.

Active since June 17, 2013PECOS Enrolled

22675 ALESSANDRO BLVD, MORENO VALLEY, CA 92553(951) 571-2365 Get Directions Write a Review

NPPES record last updated: July 24, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jeremy Huy Pham Dds NPPES

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

JEREMY HUY PHAM DDS (NPI 1679912281) is an individual dentist in Moreno Valley, California, licensed in California (62428) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679912281

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameJEREMY HUY PHAMCredential: DDS

Location Address22675 ALESSANDRO BLVDMoreno Valley, CA 92553-8551

Mailing Address821 Ranch Vista RdCorona, CA 92879-7750 · (909) 217-2676

Phone(951) 571-2365

Sole ProprietorNo

Enumeration DateJune 17, 2013

Last NPPES UpdateJuly 24, 2013

✔ NPI 1679912281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 62428

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

22675 ALESSANDRO BLVD, Moreno Valley, CA 92553

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life 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)

Jeremy Huy 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 92553 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 12

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

DR. REGINALD IVORY MOORE D.D.S.

Dentist (General Practice)