Michael Phan, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

79118 Issued in CA

Practice address

9401 Jeronimo Rd
Irvine, CA 92618-1908

Phone

(714) 516-5437

NPI assigned

Jan 12, 2019

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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

{
    "created_epoch": "1547251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1770057713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 JERONIMO RD",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926181908",
            "telephone_number": "714-516-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 JERONIMO RD",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926181908",
            "telephone_number": "714-516-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25326 Cassandra Ct",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926913707",
            "country_code": "US",
            "telephone_number": "949-331-5285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAN",
        "first_name": "MICHAEL",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-12",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "79118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Phan, MSPAS
• Cattien Ngoc Phan, DO
• Kim Phan, PA-C
• Kimberly Sue Phan, D.O
• Maggie Ngan Phan, PHARM D.
• Nathan Phan
• Phuoc Huu Phan, DDS
• Shyanne Phan
• Stephen Nguyen Phan
• Sue Phan

• Pharmacist in Irvine, CA
• Providers in Irvine, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.