Anthony Thong Phan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G83470 Issued in CA

Practice address

1189 Swallow LN Ste 110
Simi Valley, CA 93065-3157

Phone

(805) 526-3213

Fax

(805) 583-5929

NPI assigned

Oct 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: Geriatric Medicine

Education

University of Kansas School of Med (KC/Wich/Sal), 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health Simi Valley Hospital, Simi Valley, CA, CCN 050236

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Anthony Thong Phan MD Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • Simi Valley, CA
  • NPI 1730139353
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Simi Valley Hospital and Health Care Services

  • General Acute Care Hospital
  • Simi Valley, CA
  • NPI 1063495190
  Care Compare affiliation

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1124207006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1189 SWALLOW LN STE 110",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653157",
            "telephone_number": "805-526-3213",
            "fax_number": "805-583-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1189 SWALLOW LN STE 110",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653157",
            "telephone_number": "805-526-3213",
            "fax_number": "805-583-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "ANTHONY",
        "middle_name": "THONG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-29",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G83470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PROVIDER NUMBER",
            "identifier": "00G834700",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "O5D0989497",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katelynn Perlstein
• Perpetual Care Hospice, Inc.
• Keith Asukai Persico
• Peter Kim MD Inc
• Petrosyan Enterprises, Inc.
• Pharmtox
• Phillip Lavine Chiropractic Inc.
• Catherine McClain Phillips, PA C
• Laurian Elizabeth Phillips
• PHS Medical Inc

• Internal Medicine Physician in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.