Denise A.D. Phan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G73973 Issued in CA

Practice address

15243 Vanowen St
Suite 101
Van Nuys, CA 91405-3605

Phone

(818) 785-0300

Fax

(818) 989-0297

NPI assigned

Sep 6, 2006

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 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 Medicine

Education

University of California, Geffen School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

JPB Medical Group IncGroup PAC ID 1355236290, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Socal Integrated Care, Inc Home health agency, Glendale, CA, CCN 559780
• Compassion Home Health Care, Inc Home health agency, Reseda, CA, CCN 559566

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: dphan@jmg-ca.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• JPB Medical Group Inc

  • Internal Medicine Physician
  • Van Nuys, CA
  • NPI 1518081652
  Medicare reassignment Care Compare group NPD Authorized official
• Dignity Community Care

  • General Acute Care Hospital
  • Northridge, CA
  • NPI 1417089350
  NPD (past)
• Providence Health System - Southern California

  • General Acute Care Hospital
  • Mission Hills, CA
  • NPI 1477587632
  NPD (past)
• Valley Presbyterian Hospital

  • General Acute Care Hospital
  • Van Nuys, CA
  • NPI 1578529285
  NPD (past)

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

• Compassion Home Health Care, Inc.

  • Home Health Agency
  • Reseda, CA
  • NPI 1982240347
  Care Compare affiliation
• Socal Integrated Care, Inc

  • Home Health Agency
  • Glendale, CA
  • NPI 1689284606
  Care Compare affiliation

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191196800000",
    "number": "1477656395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15243 VANOWEN ST",
            "address_2": "SUITE 406",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053605",
            "telephone_number": "818-780-2106",
            "fax_number": "818-780-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15243 VANOWEN ST",
            "address_2": "SUITE 101",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053605",
            "telephone_number": "818-785-0300",
            "fax_number": "818-989-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "DENISE",
        "middle_name": "A.D.",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G73973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophana Pha
• Hoang Minh Pham, PHARM.D
• Minh Thanh Pham
• Nhan Pham, PHARMD
• Christine Phan, MS, CCC-SLP
• Loan Thi Phan, PHD
• Martin Phan
• Melanie Ngochan Phan, MD
• Phu-Phuc Phan, P.A.
• Sarah Nicole Phan

• Internal Medicine Physician in Van Nuys, CA
• Providers in Van Nuys, 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 Oct 1, 2007; 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.