DR. CHRISTYN MAI PHAN (NPI# 1518043645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518043645 |
| Entity Type | Individual |
| Full Name | DR. CHRISTYN MAI PHAN |
| Credential | O.D. |
| Practice Address |
9862 Chapman Ave Suite A Garden Grove CA 92841-2726 |
| Practice Telephone | 7146369200 |
| Practice Fax Number | 7146369424 |
| Mailing Telephone | 7146369200 |
| Mailing Fax Number | 7146369424 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2007-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 12640T | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SD0126400 | 05 |
| Street Address |
9862 CHAPMAN AVE SUITE A |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92841-2726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366057499 | Jessica Rachel Pelaez | Social Worker | 9862 Chapman Ave, Garden Grove, CA 92841-2726 | 2020-09-15 |
| 1457995441 | Cindy Thu Cung | Case Manager/Care Coordinator | 9862 Chapman Ave, Garden Grove, CA 92841-2726 | 2019-11-01 |
| 1700420791 | Allison Ngoc Nguyen | Specialist/Technologist | 9862 Chapman Ave, Garden Grove, CA 92841-2726 | 2019-11-01 |
| 1841844974 | Ngan Nguyen | Specialist/Technologist | 9862 Chapman Ave, Garden Grove, CA 92841-2726 | 2019-07-26 |
| 1114589314 | John Nguyen | Specialist/Technologist | 9862 Chapman Ave, Garden Grove, CA 92841-2726 | 2019-07-08 |
| 1043877681 | Cecilia Tran | Occupational Therapist | 9862 Chapman Ave, Garden Grove, CA 92841-2726 | 2019-05-20 |
| 1851811301 | Phuong Hoang Nguyen | Nurse Practitioner | 9862 Chapman Ave, Garden Grove, CA 92841-2726 | 2017-06-26 |
| 1598210726 | Jenny Vinh | Case Manager/Care Coordinator | 9862 Chapman Ave, Ste B., Garden Grove, CA 92841-2726 | 2016-08-17 |
| 1154876381 | Kristine Nguyen | Case Manager/Care Coordinator | 9862 Chapman Ave, Suite B, Garden Grove, CA 92841-2726 | 2016-08-17 |
| 1508230806 | Thuy Le | Registered Nurse | 9862 Chapman Ave, Suite B, Garden Grove, CA 92841-2726 | 2015-11-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174179980 | Erica R Jackson | Technician | 11355 Desmond St, Garden Grove, CA 92841 | 2019-08-16 |
| 1184107500 | Tat Pharmacy, Inc | Pharmacy | 9153 Garden Grove Blvd., Garden Grove, CA 92841 | 2018-09-11 |
| 1083119002 | Hoang Dmd Dental Inc. | Dentist | 9639 Chapman Ave, Garden Grove, CA 92841 | 2018-03-30 |
| 1699282434 | Rubi Esmeralda Tapia | Social Worker | 7441 Lincoln Way Ste 250, Garden Grove, CA 92841 | 2018-01-02 |
| 1144739830 | Bryan Nguyen | Spec/Tech, Health Info | 9862 Chapman Ave., Ste. B, Garden Grove, CA 92841 | 2017-09-25 |
| 1649796111 | Jesus Torres | Case Manager/Care Coordinator | 9862 Chapman Ave Suite B, Garden Grove, CA 92841 | 2017-08-16 |
| 1477005312 | Naincee Tolani | Occupational Therapist | 12881 Knott Street, Suite 103, Garden Grove, CA 92841 | 2016-10-26 |
| 1114385838 | Quyen Do | Case Manager/Care Coordinator | 9862 Chapman Ave, Ste. B, Garden Grove, CA 92841 | 2016-02-09 |
| 1629331657 | Superior Medical Management, LLC | Clinic/Center | 9862 Lemore Drive, Garden Grove, CA 92841 | 2012-06-25 |
| 1376818344 | Meghan Lyyn-deibert Pickens | Behavioral Analyst | 7291 Garden Grove Blvd. Suite F, Garden Grove, CA 92841 | 2012-03-09 |
| Find all providers in zip 92841 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477187771 | Amy L Vo Optometry Inc | Optometrist | 9520 Garden Grove Blvd Ste 5, Garden Grove, CA 92844-1528 | 2020-02-25 |
| 1568920296 | Long Ngo | Optometrist | 11431 Brookhurst St, Garden Grove, CA 92840-1505 | 2019-03-12 |
| 1578057717 | Jennifer Nd Hoang | Optometrist | 8942 Garden Grove Blvd Ste 104, Garden Grove, CA 92844 | 2018-06-20 |
| 1912491598 | Tracy Tom Park, O.d. | Optometrist | 12302 Garden Grove Blvd Ste 6, Garden Grove, CA 92843-1802 | 2018-06-18 |
| 1295254746 | Tammy Dan Tam-ngo Luu | Optometrist | 14251 Euclid St Ste F101, Garden Grove, CA 92843-4957 | 2017-09-15 |
| 1649798612 | Boan Optometry Inc. | Optometrist | 8942 Garden Grove Blvd., Ste 104, Garden Grove, CA 92844 | 2017-08-30 |
| 1033642392 | Phuong Que Nguyen | Optometrist | 10926 Linnell Ave, Garden Grove, CA 92843-3438 | 2017-04-04 |
| 1467845545 | Retina Institute of California Medical Group | Optometrist | 12828 Harbor Blvd Ste 305, Garden Grove, CA 92840-5835 | 2015-03-12 |
| 1962805168 | Leinah Nguyen | Optometrist | 13079 Harbor Blvd, Garden Grove, CA 92843-1739 | 2014-10-01 |
| 1629419965 | Melanie Hang Nguyen | Optometrist | 12311 Louise St, Garden Grove, CA 92841-3285 | 2013-07-15 |
| Find all providers in GARDEN GROVE | ||||
| City | GARDEN GROVE |
| Zip Code | 92841 |
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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.