DR. HAI THUONG PHAN (NPI# 1104817840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104817840 |
| Entity Type | Individual |
| Full Name | DR. HAI THUONG PHAN |
| Credential | MD |
| Practice Address |
7223 Church St Suite A-20 Highland CA 92346 |
| Mailing Address |
7223 Church St Suite A-20 Highland CA 92346-5869 |
| Practice Telephone | 9098839283 |
| Practice Fax Number | 9098866704 |
| Mailing Telephone | 9098839283 |
| Mailing Fax Number | 9098866704 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2012-12-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
A41679 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730105206 | Hai Thanh Phan | Dentist | 1941 Parkside Dr, Concord, CA 94519-2525 | 2006-07-15 |
| 1952791824 | Hai Phan | Internal Medicine | 5728 Major Blvd, Suite 528, Orlando, FL 32819-7962 | 2015-01-30 |
| 1144363326 | Hai Thanh Phan | Dentist | 1672 Mckee Rd, San Jose, CA 95116-1235 | 2007-02-15 |
| 1811088206 | Hai Tran Phan | Pharmacist | 5901 E 7th St, Long Beach, CA 90822-5201 | 2006-09-28 |
| Street Address |
7223 CHURCH ST SUITE A-20 |
| City | HIGHLAND |
| State | CA |
| Zip Code | 92346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114915485 | Hai T Phan | Internal Medicine | 7223 Church St, Suite A-20, Highland, CA 92346-5869 | 2005-10-11 |
| 1194185421 | Wecare Specialty Pharmacy Inc | Pharmacy | 7223 Church St, Suite A-19, Highland, CA 92346-5869 | 2016-02-29 |
| 1942599592 | Crystals Dialysis LLC | Clinic/Center | 7223 Church St, Ste A14, Highland, CA 92346-6837 | 2011-04-05 |
| 1780911081 | Roland Robert Rodriguez | Chiropractor | 7223 Church St, Suite A10, Highland, CA 92346-5869 | 2009-11-06 |
| 1972758951 | Total Renal Care Inc | Clinic/Center | 7223 Church St, Ste A-14, Highland, CA 92346-5869 | 2008-11-18 |
| 1073724803 | Linda Faye Doherty | Physician Assistant | 7223 Church St, # C, Highland, CA 92346-5869 | 2007-05-24 |
| 1588688832 | Hung Nguyen | Family Medicine | 7223 Church St, Highland, CA 92346-5869 | 2006-07-27 |
| 1669492591 | Edward R Serros Md Inc | Internal Medicine | 7223 Church St, Suite A-20, Highland, CA 92346-5812 | 2006-07-21 |
| 1386665024 | Edward Refugio Serros | Internal Medicine | 7223 Church St, Suite A-20, Highland, CA 92346-5869 | 2006-07-21 |
| 1184652935 | Klemens Nguyen Huynh | Internal Medicine | 7223 Church St, Suite A-20, Highland, CA 92346-5869 | 2006-06-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972101830 | First Choice Transport Services LLC | Non-emergency Medical Transport (VAN) | 7538 Bonita Dr, Highland, CA 92346 | 2020-10-13 |
| 1578031597 | Highland Optometrics | Optometrist | 7291 Boulder Avenue Suite #2d, Highland, CA 92346 | 2018-11-07 |
| 1972098218 | Hlh Wellness | Health Educator | 7758 Merlin Way, Highland, CA 92346 | 2018-06-28 |
| 1871088385 | Alexandria Ramirez | Behavioral Analyst | 7566 Rock Crest Lane, Highland, CA 92346 | 2018-06-27 |
| 1942708383 | Sarah Kristine Alcaide Young | Nurse Practitioner | 7223 Church St Ste C, Highland, CA 92346 | 2018-01-31 |
| 1861914251 | Brianna Rose Delpilar | Pharmacist | 2692 Highland Ave., Spc. 20, Highland, CA 92346 | 2017-07-07 |
| 1811440894 | Nancy Elizabeth Clark | Counselor | 29157 Stonegate Lane, Highland, CA 92346 | 2016-07-26 |
| 1952771529 | Michael Woosley | Physical Therapy Assistant | 29176 Whitegate Ln., Hihgland, CA 92346 | 2015-09-25 |
| 1326422940 | Lawryn Ask Monterroso | Dentist | 7216 Palm Avenue Suit B, Highland, CA 92346 | 2015-07-14 |
| 1073908315 | Empacare Homecare | Hospice, Inpatient | 7231 Boulder Ave., Ste 197, Highland, CA 92346 | 2015-04-03 |
| Find all providers in zip 92346 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821259466 | Hatem Ali | Internal Medicine | 7223 Church St Ste A20, Highland, CA 92346-5812 | 2008-06-17 |
| 1114915485 | Hai T Phan | Internal Medicine | 7223 Church St, Suite A-20, Highland, CA 92346-5869 | 2005-10-11 |
| 1669492591 | Edward R Serros Md Inc | Internal Medicine | 7223 Church St, Suite A-20, Highland, CA 92346-5812 | 2006-07-21 |
| 1386665024 | Edward Refugio Serros | Internal Medicine | 7223 Church St, Suite A-20, Highland, CA 92346-5869 | 2006-07-21 |
| 1184652935 | Klemens Nguyen Huynh | Internal Medicine | 7223 Church St, Suite A-20, Highland, CA 92346-5869 | 2006-06-29 |
| 1457393308 | Hiep Van Le | Internal Medicine | 7223 Church St, Suite A-20, Highland, CA 92346-5869 | 2006-06-12 |
| 1528041092 | Hoa D Vu | Internal Medicine | 7223 Church St, Suite A-20, Highland, CA 92346-5869 | 2005-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585328 | Empire Medical Specialist | Internal Medicine | 28625 Quaint St, Agoura Hills, CA 91301-1735 | 2020-10-15 |
| 1538774989 | Modern Telehealth | Internal Medicine | 1509 Espinosa Cir, Palos Verdes Estates, CA 90274-1917 | 2020-09-12 |
| 1073137733 | Jafar Alsaid | Internal Medicine | 2009 Baywood Ln, Davis, CA 95618-0500 | 2020-05-29 |
| 1164041422 | Advanced Care Multispecialty Medical Group Apc | Internal Medicine | 13990 Bear Fence Court, Moorpark, CA 93021-5022 | 2020-04-15 |
| 1629600416 | Valley Kidney Medical Group Inc | Internal Medicine | 1646 E Herndon Ave Ste 106, Fresno, CA 93720-3380 | 2020-02-10 |
| 1437789278 | Spectrum Dialysis | Internal Medicine | 18040 Sherman Way Ste 220, Reseda, CA 91335-4631 | 2020-01-21 |
| 1932745007 | K Care Ipa | Internal Medicine | 18000 Studebaker Rd Ste 100, Cerritos, CA 90703-7929 | 2019-11-22 |
| 1326609496 | Alliance Hospitalist Medical Corporation | Internal Medicine | 3300 E South St Ste 307, Lakewood, CA 90805 | 2019-06-27 |
| 1669930723 | Adventist Health Physicians Network | Internal Medicine | 111 Raley Blvd Ste 160, Chico, CA 95928-8351 | 2019-03-07 |
| 1295293363 | Adventist Health Physicians Network | Internal Medicine | 111 Raley Blvd Ste 220, Chico, CA 95928-8351 | 2019-03-07 |
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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.