Doctor profile · Federal record

Dr. Derrick Pham, Dental Student

Dentist · Student in an Organized Health Care Education/Training Program · Oceanside, CA

  • NPI 1023632676
  • 6 yrs on file
  • Male
  • Group practice
  • No sanctions

Practice & contact

Operates at 3 locations .

NPPES Updated May 11, 2026
Primary practice
92055 14Th Street
Oceanside, CA 92058
(760) 725-5870
Additional location
714 Tiverton Ave
Los Angeles, CA 900958361
(310) 825-9789
Additional location
Navy Medicine Support Command Attn: Medical Staff Svcs, Bldg H 2005 Knight Lane
Jacksonville, FL 322120140
(760) 725-3213
Mailing address
4270 Kirkcaldy Dr
San Diego, CA 921113621

Credentials & registration

NPPES · NUCC
NPI registered
May 2020 — 6 yrs on file
Profile last updated
August 30, 2021
Specialty taxonomy
122300000X — NUCC code
State license (1)
California #106380

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1023632676. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$69
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Envista Holdings Corporation 1 $68.63

By nature of payment

Food and Beverage
$69

Frequently asked questions

Auto-generated from federal data
What is Dr. Derrick Pham's medical specialty?
Dr. Derrick Pham practices Dentist in Oceanside, CA.
Where does Dr. Derrick Pham practice?
Dr. Derrick Pham practices at 92055 14Th Street, Oceanside, CA 92058. Office phone: 7607255870.
What is Dr. Derrick Pham's NPI?
Dr. Derrick Pham's National Provider Identifier (NPI) is 1023632676, issued by NPPES.