DR. JACKLINE ANH-DAO PHAM DDS
NPI 1992835235
Dentist - General Practice in San Diego, CA

Q: What is Jackline Pham's NPI number?

The NPI number for Jackline Pham is 1992835235. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Q: What is Jackline 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 Jackline Pham was last updated on February 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 March 06, 2007PECOS Enrolled

4344 CONVOY STREET, SUITE S, SAN DIEGO, CA 92111(858) 616-6468(858) 616-6478 Get Directions Write a Review

NPPES record last updated: February 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Jackline Anh-dao Pham Dds NPPES

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

DR. JACKLINE ANH-DAO PHAM DDS (NPI 1992835235) is an individual general practice provider in San Diego, California, licensed in California (45309) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992835235

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JACKLINE ANH-DAO PHAMCredential: DDS

Location Address4344 CONVOY STREET, SUITE SSan Diego, CA 92111

Mailing Address4344 Convoy Street, Suite SSan Diego, CA 92111 · (858) 616-6468 · Fax (858) 616-6478

Phone(858) 616-6468

Fax(858) 616-6478

Sole ProprietorYes

Enumeration DateMarch 6, 2007

Last NPPES UpdateFebruary 23, 2021

NPPES CertifiedFebruary 23, 2021

✔ NPI 1992835235 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 · 45309

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.

4344 CONVOY STREET, San Diego, CA 92111

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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)

Dr. Jackline Anh-dao 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 92111 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

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 Jackline Pham's NPI number?

The NPI number for Jackline Pham is 1992835235. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Jackline Pham located?

Jackline Pham practices at 4344 Convoy Street Suite S, San Diego, CA 92111. The listed phone number is (858) 616-6468.

What is Jackline Pham's specialty?

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

Is Jackline Pham enrolled in Medicare?

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

What insurance does Jackline Pham accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 5 other insurers list Jackline Pham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jackline Pham was last updated on February 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.