Active NPI
Phan Thomas Pel
- Registered Respiratory Therapist
- Long Beach, CA
National Provider Identifier
1962879304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Respiratory Therapist
- License
- 27470
- Practice address
- 836 W 31St St
Long Beach, CA 90806-1304 - Phone
- (805) 407-3895
- NPI assigned
- Sep 1, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Respiratory Therapist | 227900000X | 27470 | CA | Primary |
Addresses
Primary practice location
836 W 31St St
Long Beach, CA 90806-1304
Mailing address
836 W 31St St
Long Beach, CA 90806-1304
Phone (805) 407-3895
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441065600000",
"number": "1962879304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "836 W 31ST ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908061304",
"telephone_number": "805-407-3895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 W 31ST ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908061304",
"telephone_number": "805-407-3895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEL",
"first_name": "PHAN",
"middle_name": "THOMAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-01",
"last_updated": "2015-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "CA",
"license": "27470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.