Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1528275021 Individual Practitioner Female Practitioner

Dr. Kim Thu Pham , DMD

Dentist - General Practice • Long Beach, CA

Professional Overview & Biography Verified Profile Summary

Dr. Kim Pham, DMD is a registered healthcare professional specializing in Dentist - General Practice in Long Beach, CA. Practice services are available at 2690 PACIFIC AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2690 Pacific Ave
Suite #360

Long Beach, CA 908062657

Telephone 5622900420
Fax 5622900428
Associated Practice Facility / Clinic
🏢 Sen Bin Lai Md Inc Facility NPI 1548208077

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Long Beach, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
186 Specialists

Practicing in Long Beach, 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 55500

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License NY 051516

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

Medicaid State Provider ID
02624766 (NY)

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1023043304

Doctor of Medicine (M.D.)

NPI 1598880148

Pharmacist

Dr. Mahmood Jazayeri , MD

Orthopaedic Surgery

NPI 1679512560

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active March 06, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 06, 2017

Registered at 2690 PACIFIC AVE, SUITE #360, LONG BEACH, CA 908062657 (Tel: 5622900420)

📍
Updated Business Mailing Address March 06, 2017

Registered at 2690 PACIFIC AVE, SUITE #360, LONG BEACH, CA 908062657 (Tel: 5622900420)

👤
Provider Name / Credentials Updated March 06, 2017

Recorded as KIM PHAM, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2017

Dentist (License #051516 in NY)

NPI Profile Active July 18, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 18, 2014

Registered at 18700 MAIN ST, STE 207, HUNTINGTON BEACH, CA 926481706 (Tel: 7148410100)

📍
Updated Business Mailing Address July 18, 2014

Registered at 18700 MAIN ST, STE 207, HUNTINGTON BEACH, CA 926481706 (Tel: 7148410100)

👤
Provider Name / Credentials Updated July 18, 2014

Recorded as KIM PHAM, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2014

Dentist (License #55500 in CA)

🟢
Initial NPI Registration & Enumeration May 16, 2007

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: 1528275021
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 16, 2007
Last Update: March 06, 2017
Sole Proprietor: No

Mailing Address

2690 Pacific Ave, Suite #360

Long Beach, CA 908062657

Phone: 5622900420

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.