Individual provider Active NPI

Thaibinh Tran Phan, M.D.

  • Adult Medicine Physician
  • Garden Grove, CA
National Provider Identifier
1891957718
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
A115702 Issued in CA
Practice address
10691 Westminster Ave # 100
Garden Grove, CA 92843-4911
Phone
(714) 539-4900
Fax
(714) 539-4902
NPI assigned
Jul 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X A115702 CA Primary

Addresses

Primary practice location

10691 Westminster Ave # 100
Garden Grove, CA 92843-4911

Mailing address

9906 Dandelion Ave
Fountain Valley, CA 92708-2030
Phone (714) 539-4900

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110902000456 CA Practitioner - Family Practice 7618147463 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Choice Aco IncGroup PAC ID 7719379395, 60 clinicians

Practice addresses (Care Compare)

10691 Westminster Ave
Suite 100
Garden Grove, CA 92843-4911
Phone (714) 539-4900

7631 Wyoming St
Suite 201
Westminster, CA 92683-3904
Phone (714) 898-0765

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Thaibinh Phan MD Inc CurrentSince Feb 19, 2019 Accepting new patients
Magnolia Family Care Medical Center CurrentSince Sep 1, 2023 Accepting new patients
Family Choice Aco Inc CurrentSince Jan 1, 2022 Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Coastal Communities Physician Network, Inc. Past Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
San Joaquin Community Hospital Past Accepting new patients

Locations

10691 Westminster Ave
Ste 100
Garden Grove, CA 92843

10691 Westminster Ave
#100
Garden Grove, CA 92843
Phone (714) 539-4900

10402 Westminster Ave
Ste 100
Garden Grove, CA 92843
Phone (714) 539-4900

7631 Wyoming St
Ste 201
Westminster, CA 92683
Phone (714) 898-0765

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: thaibinh.phan.p8@direct.bfmc.nextgenshare.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1891957718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9906 DANDELION AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082030",
            "telephone_number": "714-539-4900",
            "fax_number": "714-539-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10691 WESTMINSTER AVE # 100",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434911",
            "telephone_number": "714-539-4900",
            "fax_number": "714-539-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "THAIBINH",
        "middle_name": "TRAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-01",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A115702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

Verify at the official NPI Registry.