Organization Active NPI

Yen Bich Phan DDS PC

  • Dentist
  • Santa Ana, CA
National Provider Identifier
1841353695
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
41772 Issued in CA
Legal business name
YEN BICH PHAN DDS PC
Practice address
120 S Harbor Blvd
Suite a
Santa Ana, CA 92704
Phone
(714) 531-3405
Fax
(714) 531-3362
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Yen Bich Phan, DDSNPI 1407965486
Title
President
Phone
(714) 249-0558

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 41772 CA Primary

Addresses

Primary practice location

120 S Harbor Blvd
Suite a
Santa Ana, CA 92704

Mailing address

120 S Harbor Blvd
A
Santa Ana, CA 92704
Phone (714) 531-3405

Other identifiers 1

IdentifierTypeStateIssuer
G9285801OtherCADENTICAL

National Provider Directory

National Provider Directory

Locations

120 S Harbor Blvd
Ste A
Santa Ana, CA 92704
Phone (714) 242-8752

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841353695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S HARBOR BLVD",
            "address_2": "A",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92704",
            "telephone_number": "714-531-3405",
            "fax_number": "714-531-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S HARBOR BLVD",
            "address_2": "SUITE A",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92704",
            "telephone_number": "714-531-3405",
            "fax_number": "714-531-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YEN BICH PHAN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "YEN",
        "authorized_official_middle_name": "BICH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-249-0558",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "41772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "G9285801",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.