Individual provider Active NPI

Phuong-Nga Thi Phan, PHARMD

  • Pharmacist
  • San Diego, CA
National Provider Identifier
1356258529
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
58047 Issued in CA
Practice address
9483 Camino Ruiz Ste C
San Diego, CA 92126-4472
Phone
(858) 253-8337
Fax
(858) 253-8424
NPI assigned
Aug 25, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 58047 CA Primary

Addresses

Primary practice location

9483 Camino Ruiz Ste C
San Diego, CA 92126-4472

Mailing address

9483 Camino Ruiz Ste C
San Diego, CA 92126-4472
Phone (858) 253-8337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1356258529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9483 CAMINO RUIZ STE C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264472",
            "telephone_number": "858-253-8337",
            "fax_number": "858-253-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9483 CAMINO RUIZ STE C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264472",
            "telephone_number": "858-253-8337",
            "fax_number": "858-253-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "PHUONG-NGA",
        "middle_name": "THI",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "58047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.