Anthony T Phan (NPI# 1124207006, PAC ID# 6103842471) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1124207006 |
| PAC ID by PECOS | 6103842471 |
| Professional Enrollment ID | I20051018000391 |
| Full Name | Anthony T Phan |
| Address |
1189 Swallow Ln Suite 110 Simi Valley CA 93065-3157 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | GERIATRIC MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050236 | ADVENTIST HEALTH SIMI VALLEY |
| Address | Phone | Organization |
|---|---|---|
| 1189 Swallow Ln, Suite 110, Simi Valley, CA 93065-3157 |
| Street Address |
1189 SWALLOW LN SUITE 110 |
| City | SIMI VALLEY |
| State | CA |
| Zip | 93065-3157 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Edward Luckey Iii | General Surgery | 1189 Swallow Ln, Suite 201, Simi Valley, CA 93065-3157 | |
| Alan Darush | Internal Medicine | 1189 Swallow Ln, Suite 100, Simi Valley, CA 93065-3157 | |
| Dantae D Davies | General Surgery | 1189 Swallow Ln, Suite 201, Simi Valley, CA 93065-3157 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey M Cohen | Optometry | 1555 Simi Town Ctr Way, Suite 575, Simi Valley, CA 93065-0535 | |
| Daria Younessi | Family Medicine | Jonathan Nasseri Md Corp | 2975 Sycamore Dr, Simi Valley, CA 93065-1201 |
| Paul J Miller | Radiation Oncology | Coastal Radiation Oncology Medical Group, Inc. | 2985 N Sycamore Dr, Simi Valley Radiation Oncology Medi, Simi Valley, CA 93065-1201 |
| Joyce Norman | Emergency Medicine | Allied Emergency Physicians, Inc. | 2975 N Sycamore Dr, Simi Valley, CA 93065-1201 |
| Alan L Kuban | Emergency Medicine | Allied Emergency Physicians, Inc. | 2975 N Sycamore Dr, Simi Valley, CA 93065-1201 |
| Qurat-ul-ain A Rashid | Internal Medicine | Jonathan Nasseri Md Corp | 2975 Sycamore Dr, Simi Valley, CA 93065-1201 |
| Jonathan R Nasseri | Hospice/palliative Care | Jonathan Nasseri Md Corp | 2975 Sycamore Dr, Simi Valley, CA 93065-1201 |
| Trung Bui | Vascular Surgery | 2975 Sycamore Dr, Simi Valley, CA 93065-1201 | |
| Ira H Tilles | Emergency Medicine | Allied Emergency Physicians, Inc. | 2975 N Sycamore Dr, Simi Valley, CA 93065-1201 |
| Hillary D Runnels | Physician Assistant | Allied Emergency Physicians, Inc. | 2975 N Sycamore Dr, Simi Valley, CA 93065-1201 |
| Find all physicians in zip 93065 | |||
| City | SIMI VALLEY |
| Zip Code | 93065 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SIMI VALLEY + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Anthony T Phan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.