DR. PHILIP J. FAGAN JR. M.D.
NPI 1255335154
Emergency Medicine in Tustin, CA

Active since June 08, 2005PECOS EnrolledAccepts Medicare Assignment
14642 NEWPORT AVE STE 101, TUSTIN, CA 92780(714) 581-6470(714) 581-6492 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Philip J. Fagan Jr. M.d. NPPES

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

DR. PHILIP J. FAGAN JR. M.D. (NPI 1255335154) is an individual emergency medicine provider in Tustin, California, licensed in California (C32505) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Tulane University School Of Medicine (1969).

NPPES Registry Identity

NPI1255335154
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. PHILIP J. FAGAN JR.Credential: M.D.
Location Address14642 NEWPORT AVE STE 101Tustin, CA 92780-6058
Mailing Address2550 N Hollywood Way Ste 304Burbank, CA 91505-5028 · (747) 283-1809
Fax(714) 581-6492
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1969
Enumeration DateJune 8, 2005
Last NPPES UpdateJanuary 23, 2024
NPPES CertifiedJanuary 23, 2024
NPI 1255335154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in CA · C32505
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedInternal MedicineTaxonomy 207R00000X · License C32505 (CA)
14642 NEWPORT AVE STE 101, Tustin, CA 92780

Other Identifiers 5

Other00C325050CA · Blue Shield
Medicaid00C325050CA
Other00C325050CA · Caloptima
Other930085818CA · Railroad Medicare
OtherC32505CA · Blue Cross

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Philip J. Fagan Jr. M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355253956
PECOS Enrollment IDI20040121001104
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 92780 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 3

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

Nurse Practitioner (Family)
14642 NEWPORT AVE STE 101
TUSTIN, CA 92780
Clinic/Center (Urgent Care)
14642 NEWPORT AVE STE 101
TUSTIN, CA 92780
Obstetrics & Gynecology
14642 NEWPORT AVE STE 101
TUSTIN, CA 92780

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 Philip Fagan's NPI number?

The NPI number for Philip Fagan is 1255335154. It was assigned to this individual provider in the NPPES registry on June 8, 2005.

Where is Philip Fagan located?

Philip Fagan practices at 14642 Newport Ave Ste 101, Tustin, CA 92780. The listed phone number is (714) 581-6470.

What is Philip Fagan's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Philip Fagan enrolled in Medicare?

Yes. Philip Fagan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Philip Fagan was last updated on January 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.