Thuan Ngoc Phan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC 25919 Issued in CA

Practice address

9746 Westminster Ave
Ste B
Garden Grove, CA 92844-2984

Phone

(714) 534-3169

Fax

(714) 534-3146

NPI assigned

Nov 1, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332288000000",
    "number": "1972681906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9746 WESTMINSTER AVE",
            "address_2": "STE B",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928442984",
            "telephone_number": "714-534-3169",
            "fax_number": "714-534-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9746 WESTMINSTER AVE",
            "address_2": "STE B",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928442984",
            "telephone_number": "714-534-3169",
            "fax_number": "714-534-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "THUAN",
        "middle_name": "NGOC",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 25919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "DC0259190",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN NETWORK",
            "identifier": "5468309",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quoc Tran Duy Phan, PHARMD
• Ricky Nguyen Phan, ACNP
• Sandy Diemly Phan, PHARMACIST
• Susie N Phan, PHARM.D
• Thaibinh Tran Phan, M.D.
• Tuan Phan
• Vu Huy Phan, D.C, FNP-C, L.AC
• Phat L Tran DMD Inc
• Phil Trinh, DDS.,Inc
• Carmen Sabri Philip

• Chiropractor in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.