DOUGLAS PHAN (NPI# 1063796761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063796761 |
| Entity Type | Individual |
| Full Name | DOUGLAS PHAN |
| Practice Address |
11800 Artesia Blvd Artesia CA 90701-4003 |
| Practice Telephone | 5629247718 |
| Practice Fax Number | 5629247675 |
| Mailing Telephone | 5629247718 |
| Mailing Fax Number | 5629247675 |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2011-09-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 55161 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013073766 | Douglas M Phan | Otolaryngology | 1541 Florida Ave Ste 304, Modesto, CA 95350-4439 | 2006-12-28 |
| 1366671992 | Douglas H. Phan | Psychiatry & Neurology | 769 W Blaine St, Suite B, Riverside, CA 92507-3970 | 2009-07-02 |
| Street Address |
11800 ARTESIA BLVD |
| City | ARTESIA |
| State | CA |
| Zip Code | 90701-4003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356356638 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 11800 Artesia Blvd, Artesia, CA 90701-4003 | 2006-07-29 |
| 1386184810 | Julie Kang | Pharmacist | 11800 Artesia Blvd, Artesia, CA 90701-4003 | 2017-03-02 |
| 1164735288 | Jinwoo Kwak | Pharmacist | 11800 Artesia Blvd, Artesia, CA 90701-4003 | 2010-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093364770 | Cerritos Family Denal Center | Clinic/Center | 20106 S Blvd Ste A & B, Cerritos, CA 90701 | 2019-09-05 |
| 1588121248 | Trinh Thi Bui D.d.s.a Dental Corporation | Clinic/Center | 18510 Gridley Rd, Artesia, CA 90701 | 2019-02-28 |
| 1497226344 | Primer Ignacio Bayani Usita | Dental Assistant | 11635 E. South Street, Artesia, CA 90701 | 2018-12-17 |
| 1891214037 | Cho & Kang Dental Corp | Dentist | 11960 Artesia Blvd Suite 200, Artesia, CA 90701 | 2017-09-19 |
| 1710353065 | Anasuyaben Dahyalal Jani | Nurse Practitioner | 18422 Arline Ave Apt 3, Artesia, CA 90701 | 2015-08-20 |
| 1720473499 | Allied Rehab Services, Inc. | Clinic/Center | 11618 South St, Unit 201, Artesia, CA 90701 | 2015-03-31 |
| 1134478043 | Hamlet H. Ong | Dentist | 17906 S. Pioneer Blvd., #100, Artesia, CA 90701 | 2012-09-06 |
| 1205035169 | John Shen | Dentist | 18369 Pioneer Blvd, Artesia, CA 90701 | 2007-07-12 |
| 1023141991 | Norman Chow | Dentist | 11635 East South St, Artesia, CA 90701 | 2007-03-13 |
| 1629100896 | Chau Hue Vu | Dentist | 11635 East South Street, Childrens Dental Bldg, Artesia, CA 90701 | 2007-03-12 |
| Find all providers in zip 90701 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790319978 | Jacqueline Jung Ah Park | Pharmacist | 11515 Artesia Blvd, Artesia, CA 90701-3852 | 2020-02-26 |
| 1508417379 | Stanley Wayne Winters | Pharmacist | 17623 Pioneer Blvd, Artesia, CA 90701-4008 | 2019-09-24 |
| 1215364294 | Tapas Shailesh Gandhi | Pharmacist | 18406 Seine Ave, Artesia, CA 90701-5745 | 2013-10-04 |
| 1780929778 | Ramakrishna V Pidikiti | Pharmacist | 11901 176th St Apt 141, Artesia, CA 90701-4043 | 2012-12-03 |
| 1982972824 | Susan Ham | Pharmacist | 18009 Norwalk Blvd, Artesia, CA 90701-4255 | 2011-12-07 |
| 1427382621 | Linda C Sterling | Pharmacist | 2307 W Main St, Artesia, NM 88210-3702 | 2009-09-22 |
| 1003018524 | Kwang Ja Kim | Pharmacist | 18102 Pioneer Blvd Ste 101, Artesia, CA 90701-3997 | 2007-06-05 |
| 1134286008 | Melody Hsu | Pharmacist | 12146 South St Ste C, Artesia, CA 90701-6844 | 2007-01-02 |
| 1821196023 | Lowell Mcrivers Irby | Pharmacist | 612 N 13th St Ste A, Artesia, NM 88210-1167 | 2006-09-20 |
| 1649242298 | Debra June Riley | Pharmacist | 322 W Washington Ave, Artesia, NM 88210-2866 | 2006-02-06 |
| Find all providers in ARTESIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.