MINDY THANH PHAN (NPI# 1063996916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063996916 |
| Entity Type | Individual |
| Full Name | MINDY THANH PHAN |
| Credential | PA-C |
| Practice Address |
12302 Garden Grove Blvd Ste 7 Garden Grove CA 92843-1833 |
| Mailing Address |
9421 Jennrich Ave Westminster CA 92683-5112 |
| Practice Telephone | 7145374343 |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2018-09-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609905850 | Mindy Trieu Phan | Dentist | 12042 Brookhurst St, Garden Grove, CA 92840-2815 | 2007-03-05 |
| Street Address |
12302 GARDEN GROVE BLVD STE 7 |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92843-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336460914 | Timothy Thien Tran | Family Medicine | 12302 Garden Grove Blvd Ste 7, Garden Grove, CA 92843-1833 | 2010-06-17 |
| 1699129916 | Timothy Thien Tran Md Inc | Family Medicine | 12302 Garden Grove Blvd Ste 7, Garden Grove, CA 92843-1833 | 2016-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346759024 | Elite Wellness Chiropractic Center | Clinic/Center | 13125 Brookhurst St, Garden Grove, CA 92843 | 2017-09-25 |
| 1407375520 | Leontina Balos | Assisted Living Facility | 10452 Mildred Avenue, Garden Grove, CA 92843 | 2017-09-11 |
| 1548788235 | Lanson Tt Corp | Pharmacy | 14211 Euclid St Ste A, Garden Grove, CA 92843 | 2017-09-01 |
| 1598285512 | Ernest Youngchan Rhee | Acupuncturist | 12555 Garden Grove Blvd., Ste 505, Garden Grove, CA 92843 | 2017-06-21 |
| 1336681253 | Shane Hiromu Koga | Chiropractor | 13311 Garden Grove Blvd Suite B, Garden Grove, CA 92843 | 2016-11-09 |
| 1023461456 | Kelly Chau Quach | Counselor | 14411 Brookhurst St Ste D & E, Garden Grove, CA 92843 | 2016-07-21 |
| 1922484385 | Terry Chang | Counselor | 12800 Garden Grove Blvd. Ste. F, Garden Grove, CA 92843 | 2015-08-07 |
| 1942687132 | Sara Smith | Counselor | 11277 Garden Grove Blvd., Suite 100, Garden Grove, CA 92843 | 2015-04-27 |
| 1063848232 | Nexgen Chiropractic Inc | Chiropractor | 12832 Garden Grove Blvd A, Garden Grove, CA 92843 | 2013-09-19 |
| 1023369824 | American Medical Diagnostic Lab Inc. | Clinical Medical Laboratory | 12665 Garden Grove Blvd #111, Garden Grove, CA 92843 | 2012-09-20 |
| Find all providers in zip 92843 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689290637 | Julie Nguyen | Physician Assistant | 12881 Lemonwood Ln, Garden Grove, CA 92840-5520 | 2020-06-24 |
| 1235761040 | Janet Tran | Physician Assistant | 9012 Ingram Ave, Garden Grove, CA 92844-2709 | 2020-02-10 |
| 1174091326 | Anne K Le | Physician Assistant | 10141 Westminster Ave Ste E, Garden Grove, CA 92843-4790 | 2018-11-06 |
| 1841715232 | Scott R. Blair | Physician Assistant | 12828 Harbor Blvd Ste 200, Garden Grove, CA 92840 | 2017-08-07 |
| 1548504533 | Chau Duc Nguyen | Physician Assistant | 11581 Fredrick Dr, Garden Grove, CA 92840-3542 | 2012-11-15 |
| 1932470788 | Dang Bao Nguyen | Physician Assistant | 9191 Wesminster Ave, Garden Grove, CA 92844 | 2012-01-24 |
| 1336425644 | William To | Physician Assistant | 12555 Garden Grove Blvd Ste 504, Garden Grove, CA 92843-1903 | 2011-11-01 |
| 1720686983 | Jocelyn Linh Nguyen | Physician Assistant | 8342 Garden Grove Blvd, Garden Grove, CA 92844-1151 | 2020-10-11 |
| 1548802416 | Michael Jeffrey Farley | Physician Assistant | 12495 Valley View St, Garden Grove, CA 92845-2032 | 2019-10-11 |
| 1356804587 | Tiffany Quyen Nguyen | Physician Assistant | 12495 Valley View St, Garden Grove, CA 92845-2032 | 2019-04-14 |
| Find all providers in GARDEN GROVE | ||||
| City | GARDEN GROVE |
| Zip Code | 92843 |
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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.