Allyson Tram Phan, FNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

95004089 Issued in CA

Practice address

14001 Newport Ave Ste F
Tustin, CA 92780-7830

Phone

(714) 248-5488

NPI assigned

Feb 27, 2023

Last updated

Feb 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Allyson Tram Hoang Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1588363873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14001 NEWPORT AVE STE F",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807830",
            "telephone_number": "714-248-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14001 NEWPORT AVE STE F",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807830",
            "telephone_number": "714-248-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "ALLYSON",
        "middle_name": "TRAM",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "95004089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLYSON",
            "last_name": "HOANG",
            "middle_name": "TRAM",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kim Ngan Pham
• Lorna Pham, PSY.D
• Mary Pham, PHARM.D
• Melinda Pham, DC
• My Nguyen Pham
• Eunice Jill Canonizado Phan, MSN, FNP-BC, FNP-C
• Kathy Phan
• Matt Phan, D.M.D.
• Mindy Thanh Phan, PA-C
• Alyssa Phillips, AMFT

• Family Medicine Physician in Tustin, CA
• Providers in Tustin, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.