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Active NPI 1588624258 Individual Practitioner Female Practitioner

Dr. Tarchya Thao Phan , DDS

Dentist - General Practice • Corona, CA

Professional Overview & Biography Verified Profile Summary

Dr. Tarchya Phan, DDS is a registered healthcare professional specializing in Dentist - General Practice in Corona, CA. Practice services are available at 2205 VESPER CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2205 Vesper Cir
Suite-103

Corona, CA 928793501

Telephone 9517375540
Fax 9517375549
Associated Practice Facility / Clinic
🏢 Thomas L. Adams, O.d., Inc. Facility NPI 1801071261

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Corona, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
79 Specialists

Practicing in Corona, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 42398

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Dentical
B4239801 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Kim Pham , DMD

Dentist - General Practice

NPI 1255585162

Doctor of Dental Medicine

Dr. Mustafa Makati , DDS

Dentist - General Practice

NPI 1669511986

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2205 VESPER CIR, SUITE-103, CORONA, CA 928793501 (Tel: 9517375540)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2205 VESPER CIR, SUITE-103, CORONA, CA 928793501 (Tel: 9517375540)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as TARCHYA PHAN, D.D.S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #42398 in CA)

🟢
Initial NPI Registration & Enumeration March 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588624258
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 25, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

2205 Vesper Cir, Suite-103

Corona, CA 928793501

Phone: 9517375540

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.