Trent Van Phan, D.O.

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

20A12034 Issued in CA

Practice address

2301 Bahamas Dr
Bakersfield, CA 93309-0663

Phone

(661) 326-9600

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, MO2 enrollments

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 2

Specialty

Diagnostic Radiology

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Clinic Joplin LLCGroup PAC ID 0547300196, 288 clinicians

Kern Radiology Medical Group IncGroup PAC ID 7214826460, 94 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bakersfield Memorial Hospital Hospital, Bakersfield, CA, CCN 050036
• Mercy Hospital Hospital, Bakersfield, CA, CCN 050295
• Mercy Hospital Joplin Hospital, Joplin, MO, CCN 260001

Merit-based Incentive Payment System (MIPS)

Final score

92.38 of 100Reported as group

Quality

75

Promoting interoperability

100

Improvement activities

40

Cost

77.19

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Kern Radiology Medical Group, Inc

  • Diagnostic Radiology Physician
  • Bakersfield, CA
  • NPI 1700821972
  Medicare reassignment Care Compare group NPD
• Mercy Clinic Joplin LLC

  • Family Medicine Physician
  • Joplin, MO
  • NPI 1215264817
  Medicare reassignment Care Compare group NPD
• Kern Radiology Medical Group, Inc

  • Diagnostic Radiology Physician
  • Shafter, CA
  • NPI 1417456542
  NPD (past)
• Truxtun Radiology Medical Group, L.P.

  • Radiology Clinic/Center
  • Bakersfield, CA
  • NPI 1548265036
  NPD (past)

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

• Bakersfield Memorial Hospital

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1467538520
  Care Compare affiliation
• Dignity Health

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1104981661
  Care Compare affiliation
• Mercy Hospital Joplin

  • General Acute Care Hospital
  • Joplin, MO
  • NPI 1700112745
  Care Compare affiliation

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1992725980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 BAHAMAS DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090663",
            "telephone_number": "661-326-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 BAHAMAS DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090663",
            "telephone_number": "661-326-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "TRENT",
        "middle_name": "VAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2007008859",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "20A 12034",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MO",
            "license": "2007008859",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "20A12034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louis Quy Phan
• Minh Tue Thi Phan
• Nhatu Phan
• Phat Tan Phan
• Tram Phan, NP
• Phast Pharmacy
• Phast Pharmacy
• Phec Mso LLC
• Tara Phelan
• Heather Marie Phelps, FNP-C

• Vascular & Interventional Radiology Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Vascular & Interventional Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.
• 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.