PHU-PHUC PHAN (NPI# 1376997312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376997312 |
| Entity Type | Individual |
| Full Name | PHU-PHUC PHAN |
| Other Name | PHU PHAN |
| Credential | P.A. |
| Practice Address |
6815 Noble Ave Van Nuys CA 91405-3796 |
| Practice Telephone | 8189016600 |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2016-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 53284 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6815 NOBLE AVE |
| City | VAN NUYS |
| State | CA |
| Zip Code | 91405-3796 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225032048 | Jayson A Hymes | Specialist | 6815 Noble Ave, Suite 105, Van Nuys, CA 91405-3796 | 2005-06-09 |
| 1902404635 | Austin Charles Myles Gray | Physical Therapist | 6815 Noble Ave, Van Nuys, CA 91405-3796 | 2020-10-14 |
| 1033723945 | Zack Gonzalez | Specialist/Technologist | 6815 Noble Ave, Van Nuys, CA 91405-3730 | 2020-09-08 |
| 1518578772 | Graeme Drew Matthewson | Orthopaedic Surgery | 6815 Noble Ave, Van Nuys, CA 91405-3796 | 2020-08-12 |
| 1508417932 | Neil Yasuda | Physician Assistant | 6815 Noble Ave, Van Nuys, CA 91405-3796 | 2019-09-26 |
| 1457811838 | Regents of The University of California | Orthopaedic Surgery | 6815 Noble Ave, Van Nuys, CA 91405-3796 | 2019-03-22 |
| 1457825077 | Jordan Lea Fleming | Physical Therapist | 6815 Noble Ave, Van Nuys, CA 91405-3796 | 2019-01-16 |
| 1336615988 | Regents of The University of California | Licensed Practical Nurse | 6815 Noble Ave, Van Nuys, CA 91405-3796 | 2018-10-22 |
| 1992231179 | Eleanora Chamanara | Nurse Practitioner | 6815 Noble Ave, Suite 400, Van Nuys, CA 91405-3796 | 2017-05-05 |
| 1063872323 | Alisa Callihan Beal | Physician Assistant | 6815 Noble Ave, Van Nuys, CA 91405-3796 | 2016-02-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033955 | Pro-med Hospice Inc | Hospice Care, Community Based | 6621 Van Nuys Blvd, Unit 108, Van Nuys, CA 91405 | 2020-11-08 |
| 1205452174 | Graeme Matthewson | Student in an Organized Health Care Education/Training Program | 6815 Noble Avenue, Van Nuys, CA 91405 | 2020-06-17 |
| 1023671179 | Cory Andrew Kwong | Student in an Organized Health Care Education/Training Program | C/o Lauren Daoust - Southern California Orthopedic Inst, 6815 Noble Avenue, Van Nuys, CA 91405 | 2019-04-15 |
| 1871052878 | Eric Nunez | Behavior Technician | 7226 Sepulveda Boulevard, Van Nuys, CA 91405 | 2019-03-19 |
| 1487113437 | Cindy Antillon | Behavior Technician | 7226 Sepulveda Blvd. Van Nuys, Ca 91405, Van Nuys, CA 91405 | 2019-03-19 |
| 1326507690 | Jordan Elliot Brooks | Behavior Technician | 7226 Sepulveda Blvd., Van Nuys, CA 91405 | 2019-03-17 |
| 1689132110 | Bright Star Home Health Care, Inc. | Home Health | 7141 Wooley Ave, Van Nuys, CA 91405 | 2019-03-04 |
| 1336650498 | Avanti Transportation Services, LLC | Private Vehicle | 7020 Lennox Ave #7, Van Nuys, CA 91405 | 2017-10-17 |
| 1801312434 | Marissa Topete | Rehabilitation Counselor | 14624 Sherman Way, Suite 404, Van Nuys, CA 91405 | 2017-08-15 |
| 1750802468 | Selin Ani Zarmanoglu | Marriage & Family Therapist | 14600 Sherman Way #100d, Van Nuys, CA 91405 | 2017-07-03 |
| Find all providers in zip 91405 | ||||
| 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 |
|---|---|---|---|---|
| 1235751405 | Southern California Physician Assistant Medical Group PC | Physician Assistant | 15243 Vanowen St Ste 205, Van Nuys, CA 91405-3640 | 2020-05-11 |
| 1770138950 | Jensen Houston | Physician Assistant | 13612 Crewe St, Van Nuys, CA 91405-4235 | 2019-08-05 |
| 1366934499 | Adriana Cortez | Physician Assistant | 14350 Victory Blvd Ste 3, Van Nuys, CA 91401-1994 | 2018-06-05 |
| 1467813162 | Joel Hernandez | Physician Assistant | 6654 Aqueduct Ave, Van Nuys, CA 91406-6205 | 2016-03-09 |
| 1194148882 | Vincent Phuoc Lim | Physician Assistant | 6326 Vesper Ave, Van Nuys, CA 91411-2339 | 2014-01-30 |
| 1619012689 | Mary Grace Cabatas Justiniani | Physician Assistant | 14044 Victory Blvd, Van Nuys, CA 91401-2226 | 2007-02-20 |
| 1528131638 | Eugenio Flores | Physician Assistant | 16300 Roscoe Blvd., Van Nuys, CA 91406-1244 | 2006-11-16 |
| 1023103413 | Chrystelle Williams | Physician Assistant | 15211 Vanowen St Ste 105, Van Nuys, CA 91405-3614 | 2006-10-03 |
| 1639715881 | Jfs Medical Group Inc | Physician Assistant | 7400 Van Nuys Blvd Ste 112, Van Nuys, CA 91405-1972 | 2019-11-22 |
| 1508417932 | Neil Yasuda | Physician Assistant | 6815 Noble Ave, Van Nuys, CA 91405-3796 | 2019-09-26 |
| Find all providers in VAN NUYS | ||||
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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.