YEN PHAN (NPI# 1891173142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891173142 |
| Entity Type | Individual |
| Full Name | YEN PHAN |
| Credential | D.O. |
| Practice Address |
17234 Valley Blvd Fontana CA 92335 |
| Practice Telephone | 9094275000 |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2015-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588912026 | Yen T Phan | Pharmacist | 6400 Fannin Street Suite 102, Houston, TX 77030-1518 | 2012-08-15 |
| 1407965486 | Yen Bich Phan | Dentist | 120 S Harbor Blvd, Suite A, Santa Ana, CA 92704 | 2006-08-30 |
| 1558862326 | Yen Phan | Behavior Technician | 23842 Hawthorne Blvd, Torrance, CA 90505-5929 | 2018-02-26 |
| 1306297692 | Yen Hoang Phan | Pharmacist | 1 Quality Drive, Vacaville, CA 95688 | 2016-06-28 |
| 1811384878 | Yen Phan | Family Medicine | 1115 E Pioneer Pkwy, Ste 135, Arlington, TX 76010-5875 | 2015-04-16 |
| Street Address |
17234 VALLEY BLVD |
| City | FONTANA |
| State | CA |
| Zip Code | 92335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720475478 | Guillermo Saenz Zavala | Family Medicine | 17234 Valley Blvd, Fontana, CA 92335 | 2015-04-21 |
| 1679102602 | Amina Fakhruddin Madhwala | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd, Building A, Fontana, CA 92335-6720 | 2020-04-02 |
| 1831726827 | Andrew Christopher Khaw | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd, Building A, Fontana, CA 92335 | 2020-03-27 |
| 1275160475 | Becky Nguyen | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd, Building A, Fontana, CA 92335-6720 | 2020-03-26 |
| 1073140182 | Rebecca Do | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd, Building A, Fontana, CA 92335-6720 | 2020-03-26 |
| 1326501677 | Ashley Marie Palmire | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd, Fontana, CA 92335 | 2019-04-12 |
| 1134682255 | Emily Gunz | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd, Fontana, CA 92335 | 2019-04-08 |
| 1205398799 | Spenser Reed | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd, Fontana, CA 92335 | 2019-04-03 |
| 1528520301 | Peter Nguyen | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd, Fontana, CA 92335 | 2019-04-02 |
| 1225590078 | Khoa Anh Nguyen | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd, Fontana, CA 92335 | 2019-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1790312791 | Trevor Nguyen | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd, Building A, Fontana, CA 92335 | 2020-03-27 |
| 1184251365 | Benjamin Chang | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd., Bldg. A, Fontana, CA 92335 | 2020-03-26 |
| 1407487309 | Perla Hernandez | Licensed Vocational Nurse | 14677 Merrill Aver, Fontana, CA 92335 | 2020-01-29 |
| 1013552660 | Valencia Malone | Licensed Vocational Nurse | 14677 Merrill, Fontana, CA 92335 | 2019-11-07 |
| 1831749779 | Daniel Eric Wright | Student in an Organized Health Care Education/Training Program | 14677 Merrell Ave., Fontana, CA 92335 | 2019-09-12 |
| 1962069815 | Melissa Rivera | Licensed Vocational Nurse | 15217 San Bernardino Ave., Fontana, CA 92335 | 2019-05-28 |
| 1275199770 | Jennifer Lynn Malone | Peer Specialist | 14677 Merrall Ave, Fontana, CA 92335 | 2019-05-10 |
| 1770147894 | Noelle Chong | Registered Nurse | 14677 Merill Ave, Fontana, CA 92335 | 2019-04-24 |
| 1992261929 | Destiny Alzate | Counselor | 1467 Merrill Ave, Fontana, CA 92335 | 2019-02-14 |
| Find all providers in zip 92335 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760019798 | John Le | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd Building A, Fontana, CA 92335-6720 | 2020-03-27 |
| 1790312791 | Trevor Nguyen | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd, Building A, Fontana, CA 92335 | 2020-03-27 |
| 1184251365 | Benjamin Chang | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd., Bldg. A, Fontana, CA 92335 | 2020-03-26 |
| 1831749779 | Daniel Eric Wright | Student in an Organized Health Care Education/Training Program | 14677 Merrell Ave., Fontana, CA 92335 | 2019-09-12 |
| 1376027649 | Jose Antonio Sanchez Jr. | Student in an Organized Health Care Education/Training Program | 16487 El Molino Ct, Fontana, CA 92335-6513 | 2018-09-21 |
| 1861923963 | Caitlin Francoisse | Student in an Organized Health Care Education/Training Program | 14068 Champlain Ct, Fontana, CA 92336-3505 | 2017-03-21 |
| 1487102729 | Elisa Arteaga | Student in an Organized Health Care Education/Training Program | 15372 Aveiro Rd, Fontana, CA 92337-0979 | 2016-09-15 |
| 1780070268 | Victoria Shar Tecson | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd., Fontana, CA 92335 | 2015-04-10 |
| 1669867115 | Jonathan Isaiah Smith | Student in an Organized Health Care Education/Training Program | 17234 Valley Boulevard, Fontana, CA 92335 | 2015-04-01 |
| 1538508445 | Ershad Forghani-arani | Student in an Organized Health Care Education/Training Program | 9961 Sierra Ave # Mob1, Fontana, CA 92335-6720 | 2013-06-24 |
| Find all providers in FONTANA | ||||
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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.