Individual provider Active NPI

Thomas Minh Phan, MD

  • Interventional Pain Medicine Physician
  • Fullerton, CA
National Provider Identifier
1972999753
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
C200426 Issued in CA
Practice address
150 Laguna Rd Ste a
Fullerton, CA 92835-3615
Phone
(714) 525-8822
Fax
(714) 525-5193
NPI assigned
Apr 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X D89189 MD
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X D0089189 MD
Interventional Pain Medicine Physician 208VP0014X C200426 CA Primary

Addresses

Primary practice location

150 Laguna Rd Ste a
Fullerton, CA 92835-3615

Mailing address

150 Laguna Rd Ste a
Fullerton, CA 92835-3615
Phone (714) 525-8822

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
I20250702001542 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 9931495504 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
University of Maryland School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Pain ConsultantsGroup PAC ID 5496823155, 4 clinicians
Anchor Medical GroupGroup PAC ID 9133616519, 19 clinicians

Practice addresses (Care Compare)

150 Laguna Rd
Suite a
Fullerton, CA 92835-3615
Phone (714) 525-8822

18200 Yorba Linda Blvd
Suite 250
Yorba Linda, CA 92886-4044
Phone (714) 577-6031

Hospital & facility affiliations

  • Uci Health-Orange Hospital, Orange, CA, CCN 050348
  • Providence St. Jude Medical Center Hospital, Fullerton, CA, CCN 050168

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0089189MDMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Pain Specialists LLC Physical Medicine & Rehabilitation CurrentSince Oct 22, 2024 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jul 9, 2020 Accepting new patients
Centers for Advanced Orthopaedics, LLC Current Accepting new patients
Anchor Medical Group CurrentSince Oct 1, 2025 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jul 9, 2020 Accepting new patients
Caduceus Physicians Medical Group CurrentSince Oct 1, 2025 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Dec 23, 2022 Accepting new patients
Premier Pain Consultants CurrentSince Aug 1, 2025 Accepting new patients

Locations

150 Laguna Rd
Ste A
Fullerton, CA 92835
Phone (714) 525-8822

15785 Laguna Canyon Rd
Ste 330
Irvine, CA 92618
Phone (714) 525-8822

18200 Yorba Linda Blvd
Ste 104
Yorba Linda, CA 92886
Phone (714) 646-8000

18200 Yorba Linda Blvd
Ste 308
Yorba Linda, CA 92886
Phone (714) 646-8070

18200 Yorba Linda Blvd
Ste 250
Yorba Linda, CA 92886
Phone (714) 577-6000

18200 Yorba Linda Blvd
Ste 111
Yorba Linda, CA 92886

3030 Greenmount Ave
Ste 300
Baltimore, MD 21218
Phone (240) 554-5510

1525 N Rolling Rd
Catonsville, MD 21228
Phone (410) 402-1200

1630 Main St
Ste 108
Chester, MD 21619
Phone (410) 643-3410

10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450

1600 Crain Hwy S
Ste 401
Glen Burnie, MD 21061
Phone (410) 768-5050

7467 Ridge Rd
Ste 140
Hanover, MD 21076
Phone (410) 768-5050

3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJDIAA
  • Direct secure messaging: 32tphan@cfaortho.emadirect.md

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1972999753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 LAGUNA RD STE A",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353615",
            "telephone_number": "714-525-8822",
            "fax_number": "714-525-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 LAGUNA RD STE A",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353615",
            "telephone_number": "714-525-8822",
            "fax_number": "714-525-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "THOMAS",
        "middle_name": "MINH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-08",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "D89189",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MD",
            "license": "D0089189",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "C200426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.