Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

VIVIAN DIEP PHAN
NPI 1053242065
Student in an Organized Health Care Education/Training Program in Pomona, CA

Active since May 27, 2026
309 E 2ND ST, POMONA, CA 91766(909) 469-5589 Get Directions Write a Review

NPPES record added: May 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Vivian Diep Phan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIVIAN DIEP PHAN (NPI 1053242065) is an individual student in an organized health care education/training program in Pomona, California and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1053242065
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameVIVIAN DIEP PHAN
Location Address309 E 2ND STPomona, CA 91766-1854
Mailing Address309 E 2nd StPomona, CA 91766-1854 · (909) 469-5589
Sole ProprietorYes
Enumeration DateMay 27, 2026
NPPES CertifiedMay 27, 2026
NPI 1053242065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
309 E 2ND ST, Pomona, CA 91766

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
309 E 2ND ST
POMONA, CA 91766
Physician Assistant
309 E 2ND ST
POMONA, CA 91766
Student in an Organized Health Care Education/Training Program
309 E 2ND ST
POMONA, CA 91766
Physician Assistant
309 E 2ND ST
POMONA, CA 91766
Student in an Organized Health Care Education/Training Program
309 E 2ND ST
POMONA, CA 91766
Student in an Organized Health Care Education/Training Program
309 E 2ND ST
POMONA, CA 91766
Student in an Organized Health Care Education/Training Program
309 E 2ND ST
POMONA, CA 91766
Student in an Organized Health Care Education/Training Program
309 E 2ND ST
POMONA, CA 91766

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vivian Phan's NPI number?

The NPI number for Vivian Phan is 1053242065. It was assigned to this individual provider in the NPPES registry on May 27, 2026.

Where is Vivian Phan located?

Vivian Phan practices at 309 E 2nd St, Pomona, CA 91766. The listed phone number is (909) 469-5589.

What is Vivian Phan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Vivian Phan was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.