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COREY PHAM
NPI 1972989697
Dentist in San Ramon, CA

Active since August 04, 2015PECOS Enrolled
3276 CASA GRANDE DR, SAN RAMON, CA 94583(916) 276-2503 Get Directions Write a Review

NPPES record last updated: August 4, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Corey Pham NPPES

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

COREY PHAM (NPI 1972989697) is an individual dentist in San Ramon, California, licensed in California (64877) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972989697
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameCOREY PHAM
Location Address3276 CASA GRANDE DRSan Ramon, CA 94583-3004
Mailing Address3276 Casa Grande DrSan Ramon, CA 94583-3004 · (916) 276-2503
Phone(916) 276-2503
Sole ProprietorYes
Enumeration DateAugust 4, 2015
✔ NPI 1972989697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 64877
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.
3276 CASA GRANDE DR, San Ramon, CA 94583
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Corey Pham 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 94583 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

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 Corey Pham's NPI number?

The NPI number for Corey Pham is 1972989697. It was assigned to this individual provider in the NPPES registry on August 4, 2015.

Where is Corey Pham located?

Corey Pham practices at 3276 Casa Grande Dr, San Ramon, CA 94583. The listed phone number is (916) 276-2503.

What is Corey Pham's specialty?

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

Is Corey Pham enrolled in Medicare?

Yes. Corey Pham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Corey Pham was last updated on August 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.