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Active NPI 1003102336 Individual Practitioner Male Practitioner

Dr. Peter Pham , DDS

Dentist - General Practice • Downey, CA

Professional Overview & Biography Verified Profile Summary

Dr. Peter Pham, DDS is a registered healthcare professional specializing in Dentist - General Practice in Downey, CA. Practice services are available at 12156 LAKEWOOD BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12156 Lakewood Blvd

Downey, CA 902422658

Telephone 5628031600
Associated Practice Facility / Clinic
🏢 J. Whitley Dental Corporation Facility NPI 1013218106

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Downey, CA

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

Practicing in Downey, 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 61817

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.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Christian Nguyen , DMD

Dentist - General Practice

NPI 1316471741

Doctor of Dental Medicine

NPI 1609068097

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 June 01, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 01, 2015

Registered at 12156 LAKEWOOD BLVD, DOWNEY, CA 902422658 (Tel: 5628031600)

📍
Updated Business Mailing Address June 01, 2015

Registered at 18890 CAPENSE ST, FOUNTAIN VALLEY, CA 927087261 (Tel: 9492954361)

👤
Provider Name / Credentials Updated June 01, 2015

Recorded as PETER PHAM, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2015

Dentist (License #61817 in CA)

🟢
Initial NPI Registration & Enumeration June 24, 2011

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: 1003102336
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2011
Last Update: June 01, 2015
Sole Proprietor: Yes

Mailing Address

18890 Capense St

Fountain Valley, CA 927087261

Phone: 9492954361

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.