MY PHUONG THI PHAN (NPI# 1659878882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659878882 |
| Entity Type | Individual |
| Full Name | MY PHUONG THI PHAN |
| Credential | NP |
| Practice Address |
10938 Hyades Way San Diego CA 92126 |
| Mailing Address |
2 Executive Cir Ste 100 Irvine CA 92614-6770 |
| Practice Telephone | 7142604902 |
| Mailing Telephone | 9495430124 |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2019-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 785271 | CA | Nursing Service Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
95008855 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10938 HYADES WAY |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730741299 | Eye Connection Optometry, Inc | Optometrist | 9516 Miramar Road, San Diego, CA 92126 | 2019-07-05 |
| 1811450935 | Anne Phabmixay | Student in an Organized Health Care Education/Training Program | Douglas Young Wellness Center, 10717 Camino Ruiz Suite 207, San Diego, CA 92126 | 2019-04-08 |
| 1679035588 | Emily Nguyen | Registered Nurse | 8210 Elston Place, San Diego, CA 92126 | 2019-04-01 |
| 1558832139 | Dana Douglas-hiley | Speech-Language Pathologist | 9606 Tierra Grande St., Suite 107, San Diego, CA 92126 | 2018-12-08 |
| 1275022873 | Breeann Nicole Poulson | Speech-Language Pathologist | 9466 Black Mountain Rd Suite 100, San Diego, CA 92126 | 2018-05-09 |
| 1083132153 | Ruth Tamar Morales | Occupational Therapist | Children's Ot Services, Inc, 9606 Tierra Grande St., #104, San Diego, CA 92126 | 2017-09-08 |
| 1487184339 | Chelsea Irene Johnson | Marriage & Family Therapist | 8670 New Salem St. Unit 106, San Diego, CA 92126 | 2017-06-14 |
| 1336508506 | Brenda L. Bebal | Nurse Practitioner | 10737 Camino Ruiz; Ste 235, Operation Samahan Health Clinic, San Diego, CA 92126 | 2016-02-17 |
| 1700245099 | Naval Medical Center San Diego | Pharmacy | Mcas Miramar Exchange Pharmacy, Bldg 2660, San Diego, CA 92126 | 2016-02-16 |
| 1821464835 | Anne Michelle Gungon Everhart | Registered Nurse | 10737 Camino Ruiz, Suite 235, Operation Samahan Community Health Center, San Diego, CA 92126 | 2015-08-12 |
| Find all providers in zip 92126 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584008 | Venessa Beck | Nurse Practitioner | 903 Cardiff St, San Diego, CA 92114-5019 | 2020-10-08 |
| 1386107712 | Phillip Stephen Garibotto | Nurse Practitioner | 5090 Shoreham Pl Ste 209, San Diego, CA 92122-5935 | 2019-04-11 |
| 1013411016 | Virginia Zebley | Nurse Practitioner | 32547 Naval Miramar Medical Branch Clinic, San Diego, CA 92134-0001 | 2018-03-23 |
| 1528476256 | Julie Chrisco | Nurse Practitioner | 2365 Northside Dr, Suite 100, San Diego, CA 92108-2709 | 2014-07-25 |
| 1093130395 | Imelda Lim | Nurse Practitioner | 5795 Radio Ct, San Diego, CA 92114-6572 | 2014-02-23 |
| 1851505788 | Kathleen Finnigan-ryan | Nurse Practitioner | 4777 Imperial Ave, Lhs Student Health Center, San Diego, CA 92113-2071 | 2007-05-10 |
| 1194323121 | Ana Wong Pacis | Nurse Practitioner | 6991 Balboa Ave, San Diego, CA 92111-3447 | 2020-10-12 |
| 1184263733 | Adenike Awolola | Nurse Practitioner | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2019-12-31 |
| 1275019150 | Stephanie Scirocco | Nurse Practitioner | 7565 Mission Valley Rd, San Diego, CA 92108 | 2018-07-13 |
| 1699263269 | Lysianne Van Pham | Nurse Practitioner | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2018-04-28 |
| Find all providers in SAN DIEGO | ||||
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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.