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

Active since June 08, 2005PECOS Enrolled
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: November 01, 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.

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
Phone(714) 581-6470
Fax(714) 581-6492
Sole ProprietorNo
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
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Other Identifiers 5

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Billing Reassignments

6

Medicare enrollment records show Philip Fagan reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Can Emergency Physicians Medical Group Inc
Same address
Emergency Medicine
14662 NEWPORT AVE
Tustin, CA 92780
  • Reassigned Medicare billing, California enrollment
  • 121 clinicians in this Medicare group
NPI 1386018356 (714) 619-7700
Knd Development 59 LLC
4.2 mi
Hospitalist
1901 N COLLEGE AVE
Santa Ana, CA 92706
  • Reassigned Medicare billing, California enrollment
  • 204 clinicians in this Medicare group
NPI 1740519081 (502) 596-7300
California Hospitalists Emergency Physicians Medical Group Inc
18 mi
Emergency Medicine
13222 BLOOMFIELD AVE
Norwalk, CA 90650
  • Reassigned Medicare billing, California enrollment
  • 55 clinicians in this Medicare group
NPI 1760648539 (747) 283-1809
ER Physicians Medical Group, Inc.
29 mi
Emergency Medicine
4081 E OLYMPIC BLVD, EMERGENCY DEPT
Los Angeles, CA 90023
  • Reassigned Medicare billing, California enrollment
  • 31 clinicians in this Medicare group
NPI 1063765907 (747) 283-1809
Hoover Emergency Physicians LLC
229 mi
Emergency Medicine
901 ADAMS BLVD
Boulder City, NV 89005
  • Reassigned Medicare billing, Nevada enrollment
  • 30 clinicians in this Medicare group
NPI 1063713790 (954) 939-5000
Glenn Medical Center, LLC
467 mi
Medicare Defined Swing Bed Unit
1133 W SYCAMORE ST
Willows, CA 95988
  • Reassigned Medicare billing, California enrollment
  • 53 clinicians in this Medicare group
NPI 1336187178 (530) 934-1800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

SANDRA GARCIA
Nurse Practitioner (Family)
14642 NEWPORT AVE STE 101
TUSTIN, CA 92780
Orange County (714) 352-5800
PROSPECT FOOTHILL URGENT CARE
Clinic/Center (Urgent Care)
14642 NEWPORT AVE STE 101
TUSTIN, CA 92780
Orange County (714) 522-2891
MITCHELL W LEW MD
Obstetrics & Gynecology
14642 NEWPORT AVE STE 101
TUSTIN, CA 92780
Orange County (714) 581-6470

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 enrollment system.

Which organizations bill Medicare for Philip Fagan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Philip Fagan reassigns Medicare benefits to 6 organizations: Can Emergency Physicians Medical Group Inc (Tustin, CA), Knd Development 59 LLC (Santa Ana, CA), California Hospitalists Emergency Physicians Medical Group Inc (Norwalk, CA), ER Physicians Medical Group, Inc. (Los Angeles, CA), Hoover Emergency Physicians LLC (Boulder City, NV) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Philip Fagan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Philip Fagan was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.