ANDREW PHAN (NPI# 1952810632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952810632 |
| Entity Type | Individual |
| Full Name | ANDREW PHAN |
| Credential | MSPAS |
| Practice Address |
12 Villanova Irvine CA 92606-8929 |
| Practice Telephone | 9492781980 |
| Mailing Telephone | 9492781980 |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2017-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693054 | Andrew Tj Phan | Registered Nurse | 7663 Ridgeline Dr, Dublin, CA 94568-5575 | 2020-09-14 |
| 1659705499 | Andrew Phan | Pharmacist | 3400 Fait Ave, Baltimore, MD 21224-4309 | 2013-08-28 |
| 1467604454 | Andrew Kyanh Phan | Dentist | 6919 Se 82nd Ave Ste 103, Tlc Dentistry, Portland, OR 97266-5873 | 2008-10-21 |
| 1467437863 | Andrew Phan | Internal Medicine | 8210 Walnut Hill Ln., Ste. 230, Dallas, TX 75231 | 2005-12-08 |
| 1679102875 | Andrew Phan | Student in an Organized Health Care Education/Training Program | 800 N Main St, Santa Ana, CA 92701-3576 | 2020-04-08 |
| 1174092563 | Andrew Phan | Physical Therapist | 3206 Peach Orchard Rd, Augusta, GA 30906-3540 | 2018-11-15 |
| 1225521966 | Andrew Phan | Dentist | 12168 Bellaire Blvd Ste 100, Houston, TX 77072-2642 | 2018-06-07 |
| 1669909156 | Andrew Phan | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Dr, Cleveland, OH 44109 | 2017-05-16 |
| 1063646545 | Andrew Phan | Pediatrics | 1650 Response Rd, Sacramento, CA 95815-4807 | 2009-05-12 |
| 1710164736 | Andrew Chuong Phan | Internal Medicine | 2501 E Chapman Ave, Orange, CA 92869-3204 | 2008-01-22 |
| Street Address |
12 VILLANOVA |
| City | IRVINE |
| State | CA |
| Zip Code | 92606-8929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912384967 | Roxanne Betancourt | Behavioral Analyst | 16782 Von Karman Avenue Suite 11, Irvine, CA 92606 | 2015-04-29 |
| 1942552096 | East Haradin | Acupuncturist | 3 Corporate Park, Irvine, CA 92606 | 2012-10-12 |
| 1730434622 | Fountain Modern Dentistry and Orthodontics, LLP | Dentist | 2860 Michelle Drive 2nd Floor, Irvine, CA 92606 | 2012-07-17 |
| 1205100898 | Maria Del Pilar Aguero | Marriage & Family Therapist | 20 Corporate Park #118, Irvine, CA 92606 | 2012-02-29 |
| 1013292077 | Hanah &health, Inc. | Acupuncturist | 2691 Richter Ave Suite 120, Irvine, CA 92606 | 2011-10-20 |
| 1831474345 | Elham Shoja | Psychologist | 8 Corporate Park Suite 300, Irvine, CA 92606 | 2011-10-15 |
| 1154631869 | Frances Lam | Acupuncturist | 2400 Alton Ave., Ste. 208, Irvine, CA 92606 | 2010-10-15 |
| 1174848055 | Oc Physical Therapy Corporation | Clinic/Center | 62 Coporate Park, 145, Irvine, CA 92606 | 2010-04-02 |
| 1770714941 | Yuhong She | Obstetrics & Gynecology | 3500 Barranca Parkway, Ste. 230, Irvine, CA 92606 | 2009-08-05 |
| 1235396136 | Kevin K Lim | Dentist | 16525 Von Karman Ave, #f, Irvine, CA 92606 | 2008-05-19 |
| Find all providers in zip 92606 | ||||
| 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 |
|---|---|---|---|---|
| 1407453541 | Stephen Benjamin Perez | Physician Assistant | 951 Somerville, Irvine, CA 92620-0264 | 2020-10-01 |
| 1922629831 | Lydia Yeeyen Lau | Physician Assistant | 14191 Saarinen Ct, Irvine, CA 92606-1853 | 2020-05-01 |
| 1053947184 | Shelby Harrison | Physician Assistant | 710 Oak Gln, Irvine, CA 92618-4718 | 2020-03-20 |
| 1174156194 | Chloe Tyau | Physician Assistant | 25 Pacifica Apt 5329, Irvine, CA 92618-3357 | 2020-02-18 |
| 1285285080 | Noura Aman | Physician Assistant | 12429 Spectrum, Irvine, CA 92618-3405 | 2019-09-23 |
| 1194252395 | Sadie Mimi Kim | Physician Assistant | 263 Pineview, Irvine, CA 92620-1929 | 2017-05-18 |
| 1275084089 | Rosmarie Ahsan | Physician Assistant | 19191 Norwood Ter, Irvine, CA 92603-3511 | 2016-10-17 |
| 1730553173 | Darlene Vuong | Physician Assistant | 17 Skycrest, Irvine, CA 92603 | 2015-11-23 |
| 1407238942 | Jeanelle Lian Brick | Physician Assistant | 10 Whitecloud, Irvine, CA 92614-5447 | 2015-06-21 |
| 1144500968 | Cindy Williams | Physician Assistant | 15785 Laguna Canyon Rd, Ste 390, Irvine, CA 92618 | 2011-08-24 |
| Find all providers in IRVINE | ||||
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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.