DR. HAI THUONG PHAN MD
NPI 1104817840
Internal Medicine - Nephrology in Highland, CA

Q: What is Hai Phan's NPI number?

The NPI number for Hai Phan is 1104817840. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Q: What is Hai Phan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Hai Phan was last updated on December 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.

Active since November 02, 2005PECOS Enrolled

7223 CHURCH ST, SUITE A-20, HIGHLAND, CA 92346(909) 883-9283(909) 886-6704 Get Directions Write a Review

NPPES record last updated: December 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Hai Thuong Phan Md NPPES

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

DR. HAI THUONG PHAN MD (NPI 1104817840) is an individual nephrology provider in Highland, California, licensed in California (A41679) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104817840

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. HAI THUONG PHANCredential: MD

Location Address7223 CHURCH ST, SUITE A-20Highland, CA 92346

Mailing Address7223 Church St, Suite A-20Highland, CA 92346-5869 · (909) 883-9283 · Fax (909) 886-6704

Phone(909) 883-9283

Fax(909) 886-6704

Sole ProprietorYes

Enumeration DateNovember 2, 2005

Last NPPES UpdateDecember 13, 2012

✔ NPI 1104817840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in CA · A41679

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

7223 CHURCH ST, Highland, CA 92346

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Other Identifiers 1

Medicare UPINA29433

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Hai Thuong Phan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92346 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$136.04 typical visit price

range $59.60 – $179.42

Typical copayment $34.01 (range $14.90 – $44.85)

Most-billed visit code 99204

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

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

LINDA FAYE DOHERTY PA

Physician Assistant

7223 CHURCH ST, # C
HIGHLAND, CA 92346

San Bernardino County (909) 862-1191

HAI T PHAN

Internal Medicine (Nephrology)

7223 CHURCH ST, SUITE A-20
HIGHLAND, CA 92346

San Bernardino County (909) 883-9283

KLEMENS NGUYEN HUYNH M.D.

Internal Medicine (Nephrology)

7223 CHURCH ST, SUITE A-20
HIGHLAND, CA 92346

San Bernardino County (909) 882-0702

BEAVER MEDICAL GROUP, LP

Family Medicine

7223 CHURCH ST, STE C
HIGHLAND, CA 92346

San Bernardino County (909) 862-1191

MR. EDWARD REFUGIO SERROS MD

Internal Medicine (Nephrology)

7223 CHURCH ST, SUITE A-20
HIGHLAND, CA 92346

San Bernardino County (909) 882-0702

HIEP VAN LE M.D.

Internal Medicine (Nephrology)

7223 CHURCH ST, SUITE A-20
HIGHLAND, CA 92346

San Bernardino County (909) 882-0702

DR. HOA D VU MD

Internal Medicine (Nephrology)

7223 CHURCH ST, SUITE A-20
HIGHLAND, CA 92346

San Bernardino County (909) 381-3900

MR. HUNG NGUYEN DO

Family Medicine

7223 CHURCH ST
HIGHLAND, CA 92346

San Bernardino County (909) 862-1191

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 Hai Phan's NPI number?

The NPI number for Hai Phan is 1104817840. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Hai Phan located?

Hai Phan practices at 7223 Church St Suite A-20, Highland, CA 92346. The listed phone number is (909) 883-9283.

What is Hai Phan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Hai Phan enrolled in Medicare?

Yes. Hai Phan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Hai Phan was last updated on December 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.