Active NPI
Van Thu Phan, DDS
- Dentist
- Westminster, CA
National Provider Identifier
1871585984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 32756
- Practice address
- 9653B Bolsa Ave
Westminster, CA 92683-5906 - Phone
- (714) 775-7710
- Fax
- (714) 775-7710
- NPI assigned
- Aug 16, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 32756 | CA | Primary |
Addresses
Primary practice location
9653B Bolsa Ave
Westminster, CA 92683-5906
Mailing address
9653B Bolsa Ave
Westminster, CA 92683-5906
Phone (714) 775-7710
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160303001516 | CA | Order and Referring Only - Dentist | 7719283506 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32756 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1871585984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9653B BOLSA AVE",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926835906",
"telephone_number": "714-775-7710",
"fax_number": "714-775-7710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9653B BOLSA AVE",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926835906",
"telephone_number": "714-775-7710",
"fax_number": "714-775-7710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAN",
"first_name": "VAN THU",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "32756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westminster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.