Active NPI 1164026415 Individual Practitioner Female Practitioner

Dr. Lily Pham , DDS

Dentist - General Practice • Ladera Ranch, CA

Professional Overview & Biography Verified Profile Summary

Dr. Lily Pham, DDS is a registered healthcare professional specializing in Dentist - General Practice in Ladera Ranch, CA. Practice services are available at 27412 ANTONIO PKWY STE R4 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

27412 Antonio Pkwy Ste R4

Ladera Ranch, CA 926942164

Telephone 9493477083

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Ladera Ranch, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 21.7 Yrs

Regional Practice Density

8 Specialists

Practicing in Ladera Ranch, 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

CMS Verified: 2021-12-30

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 105422

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

1 Associated Practitioners

Dr. An Ly , DMD

Dentist - General Practice

NPI 1073174884

Doctor of Dental Medicine

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location January 04, 2022

Registered at 27412 ANTONIO PKWY STE R4, LADERA RANCH, CA 926942164 (Tel: 9493477083)

✅

NPI Profile Active November 27, 2020

NPI status registered as active in NPPES database

📍

Updated Practice Location November 27, 2020

Registered at 15160 KENSINGTON PARK DR STE 610, TUSTIN, CA 927821825 (Tel: 7142940807)

📍

Updated Business Mailing Address November 27, 2020

Registered at 31281 VIA PARRA, SAN JUAN CAPISTRANO, CA 926752847 (Tel: 7143832640)

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Provider Name / Credentials Updated November 27, 2020

Recorded as LILY PHAM, DDS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2020

Dentist (License #105422 in CA)

🟢

Initial NPI Registration & Enumeration November 27, 2020

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: 1164026415

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 27, 2020

Last Update: January 04, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

31281 Via Parra

San Juan Capistrano, CA 926752847

Phone: 7143832640

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.