Victoria Phan

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

9192 Issued in AZ

Practice address

14800 W Mountain View Blvd Ste 160
Surprise, AZ 85374-2700

Phone

(623) 584-3376

NPI assigned

Nov 23, 2020

Last updated

Jul 23, 2024By 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

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arizona Dermatology Specialists, PLLCGroup PAC ID 6204085145, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Arizona Dermatology Specialists, PLLC

  • Dermatology Physician
  • Surprise, AZ
  • NPI 1992061162
  Medicare reassignment Care Compare group
• Peyman a. Elison DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Surprise, AZ
  • NPI 1982749917
  NPD (past)

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1306440011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14800 W MOUNTAIN VIEW BLVD STE 160",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14800 W MOUNTAIN VIEW BLVD STE 160",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742700",
            "telephone_number": "623-584-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "9192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peyman a. Elison DPM PC
• Nicholas Minh Pham, MD
• Thomas T Pham, DDS
• Jocelin Q Phan, PHARM D.
• Luu Phan
• Pharmaprodia LLC
• Amber Philson
• Phoenix Medical Group, PC (PM Sleep Center)
• Phoenix Vamc
• Robert Phung, PHARMD

• Medical Physician Assistant in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.