MICHAEL LONG PHAN
NPI 1093561003
Student in an Organized Health Care Education/Training Program in Murrieta, CA

Active since April 29, 2024
28062 BAXTER RD, MURRIETA, CA 92563(951) 290-4190 Get Directions Write a Review

NPPES record last updated: May 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 10, 2026, Apr 29, 2024 (2 updates tracked since 2024).

About Michael Long Phan NPPES

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

MICHAEL LONG PHAN (NPI 1093561003) is an individual student in an organized health care education/training program in Murrieta, California and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1093561003
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMICHAEL LONG PHAN
Location Address28062 BAXTER RDMurrieta, CA 92563-1401
Mailing Address28062 Baxter RdMurrieta, CA 92563-1401 · (951) 290-4190
Sole ProprietorYes
Enumeration DateApril 29, 2024
Last NPPES UpdateMay 10, 20262 updates tracked since enumeration
NPPES CertifiedMay 10, 2026
NPI 1093561003 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.
28062 BAXTER RD, Murrieta, CA 92563

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.

Student in an Organized Health Care Education/Training Program
28062 BAXTER RD
MURRIETA, CA 92563
Nurse Practitioner (Family)
28062 BAXTER RD
MURRIETA, CA 92563
Nurse Practitioner (Acute Care)
28062 BAXTER RD
MURRIETA, CA 92563
Family Medicine
28062 BAXTER RD
MURRIETA, CA 92563
Student in an Organized Health Care Education/Training Program
28062 BAXTER RD
MURRIETA, CA 92563
Registered Nurse (Registered Nurse First Assistant)
28062 BAXTER RD
MURRIETA, CA 92563
Nuclear Medicine
28062 BAXTER RD
MURRIETA, CA 92563
Registered Nurse (Registered Nurse First Assistant)
28062 BAXTER RD
MURRIETA, CA 92563

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 Michael Phan's NPI number?

The NPI number for Michael Phan is 1093561003. It was assigned to this individual provider in the NPPES registry on April 29, 2024.

Where is Michael Phan located?

Michael Phan practices at 28062 Baxter Rd, Murrieta, CA 92563. The listed phone number is (951) 290-4190.

What is Michael 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 Michael Phan was last updated on May 10, 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.