Vu Tuan Phan

Primary specialty

DentistTaxonomy code 122300000X

License

105678 Issued in CA

Practice address

15424 Brookhurst St
Westminster, CA 92683-7057

Phone

(714) 775-0666

NPI assigned

Nov 12, 2020

Last updated

Nov 12, 2020By the provider in NPPES

Sex

Male

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dentist

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Harris Done DDS Dental Corp

  • Oral and Maxillofacial Surgery (Dentist)
  • Westminster, CA
  • NPI 1710636857
  Medicare reassignment NPD
• Vmedical Center PC

  • Family Medicine Physician
  • Westminster, CA
  • NPI 1548086036
  NPD
• Huy Tong, DDS, Inc

  • Preferred Provider Organization
  • Westminster, CA
  • NPI 1639525744
  NPD (past)
• Yen Hai Duong, DDS & Jimmy Tran, DMD, Inc.

  dba City Dental Westminster

  • Dental Clinic/Center
  • Westminster, CA
  • NPI 1144712456
  NPD (past)

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1730781808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15424 BROOKHURST ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926837057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15424 BROOKHURST ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926837057",
            "telephone_number": "714-775-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "VU",
        "middle_name": "TUAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "105678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quynh Nhu Phan, DDS
• Susan Le Phan
• Tuan Van Phan, MD
• Tuyet-Mai M. Phan, M.D.
• Van Thu Phan, DDS
• Kathy Phi, OTR/L
• Linda Phi, DDS
• Phong H. Tran Medical Corp
• Phuc Dang Nguyen M.D Inc
• Phuc Dang Nguyen MD Inc

• Dentist in Westminster, CA
• Providers in Westminster, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.