Diem Thuy Hong Phan, RN, MSN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

632967 Issued in CA

Practice address

16703 Clark Ave
Bellflower, CA 90706-5203

Phone

(562) 866-9011

Fax

(562) 920-3961

NPI assigned

Jan 3, 2019

Last updated

Jan 3, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bellflower Unified School District

  • Local Education Agency (LEA)
  • Bellflower, CA
  • NPI 1306034442
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1093288813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16703 CLARK AVE",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907065203",
            "telephone_number": "562-866-9011",
            "fax_number": "562-920-3961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16703 CLARK AVE",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907065203",
            "telephone_number": "562-866-9011",
            "fax_number": "562-920-3961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "DIEM THUY",
        "middle_name": "HONG",
        "credential": "RN, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-03",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "CA",
            "license": "632967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Duong Pham, MD
• Krystan Pham, RPH
• Minhchau Pham, MD
• Tiffany Phuong Khanh Pham, DMD
• Christine Phan, MD
• Hao Phan
• Pauline Khanh Phan, PHARM.D.
• Vivian Phan, LMFT
• Pharmacy One Inc (B&B Pharmacy)
• Pharmacy One Inc

• School Registered Nurse in Bellflower, CA
• Providers in Bellflower, CA by specialty
• School Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.