Sydney Phan

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO3655 Issued in NV

Practice address

5380 S Rainbow Blvd Ste 120
Las Vegas, NV 89118-1878

Phone

(702) 463-4040

Fax

(702) 968-5681

NPI assigned

Mar 24, 2021

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

Enrolled in NV

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

Family Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Unlv MedicineGroup PAC ID 4183991458, 177 clinicians

Roseman Medical Research InstituteGroup PAC ID 0244522795, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

98.01 of 100Reported as apm

Quality

84.78

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Roseman Medical Research Institute, LLC

  dba Roseman Medical Group

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1023479052
  Medicare reassignment Care Compare group NPD
• Unlv Medicine

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1407397235
  Medicare reassignment Care Compare group NPD
• Unlv Medicine

  dba Mojave Pharmacy

  • Community/Retail Pharmacy
  • Las Vegas, NV
  • NPI 1184152274
  NPD
• Unlv Medicine

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Las Vegas, NV
  • NPI 1538694575
  NPD

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1194302489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5380 S RAINBOW BLVD STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181878",
            "telephone_number": "702-463-4040",
            "fax_number": "702-968-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5380 S RAINBOW BLVD STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181878",
            "telephone_number": "702-463-4040",
            "fax_number": "702-968-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "SYDNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "DO3655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• My Tam Nguyen Phan
• Natalie Phan, MD
• Nhung Phan, DMD
• Phi Phan, DDS
• Phillip Huy Duc Phan
• Susan Phaneuf
• Mareth Phang
• Amandeep Kaur Phangureh, FNP-C
• Tam Timothy Duy Phanle, DMD
• Serina A Phanthalath

• Family Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.