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THI BINH PHAN
NPI 1114050200
Dentist - General Practice in San Diego, CA

Active since March 14, 2007
1540 FERN ST, SAN DIEGO, CA 92102(619) 236-9549(619) 234-0311 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thi Binh Phan NPPES

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

THI BINH PHAN (NPI 1114050200) is an individual general practice provider in San Diego, California, licensed in California (40484) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1114050200
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameTHI BINH PHAN
Location Address1540 FERN STSan Diego, CA 92102-1521
Mailing Address37 Sanctuary StreetIrvine, CA 92620 · (714) 309-2383 · Fax (949) 262-0204
Phone(619) 236-9549
Fax(619) 234-0311
Sole ProprietorYes
Enumeration DateMarch 14, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1114050200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 40484
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1540 FERN ST, San Diego, CA 92102
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Other Names 1

Other Name (5)Timothy B Phan Dds

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

THI PHAN DENTAL CORP
Clinic/Center (Dental)
1540 FERN ST
SAN DIEGO, CA 92102
San Diego County (619) 236-9549
TIN MAUNG MAUNG D.D.S.
Dentist
1540 FERN ST
SAN DIEGO, CA 92102
San Diego County (619) 236-9549

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 Thi Phan's NPI number?

The NPI number for Thi Phan is 1114050200. It was assigned to this individual provider in the NPPES registry on March 14, 2007. The provider is also known as Timothy B Phan Dds.

Where is Thi Phan located?

Thi Phan practices at 1540 Fern St, San Diego, CA 92102. The listed phone number is (619) 236-9549.

What is Thi Phan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Thi Phan accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Thi Phan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thi Phan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.