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ANH PHAN
NPI 1265050546
Physician Assistant in Pomona, CA

Active since July 13, 2020PECOS Enrolled
1196 N PARK AVE, POMONA, CA 91768(909) 623-4050 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 30, 2021, Dec 1, 2021, Jul 13, 2020 (3 updates tracked since 2020).

About Anh Phan NPPES

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

ANH PHAN (NPI 1265050546) is an individual physician assistant in Pomona, California, licensed in California (60377) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265050546
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameANH PHAN
Location Address1196 N PARK AVEPomona, CA 91768-3027
Mailing Address4737 Bandera StMontclair, CA 91763-4392 · (909) 667-6608
Phone(909) 623-4050
Sole ProprietorNo
Enumeration DateJuly 13, 2020
Last NPPES UpdateDecember 30, 20213 updates tracked since enumeration
NPPES CertifiedDecember 28, 2021
✔ NPI 1265050546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 60377
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1196 N PARK AVE, Pomona, CA 91768
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anh Phan 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 91768 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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 8

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

MALLU REDDY, M.D. INC.
Internal Medicine
1196 N PARK AVE
POMONA, CA 91768
Los Angeles County (909) 623-4050
ERICA NATALIE MICHELLE RODRIGUEZ FNP-C
Nurse Practitioner (Family)
1196 N PARK AVE
POMONA, CA 91768
Los Angeles County (909) 623-4050
NI HUA CHOU FNP
Nurse Practitioner (Family)
1196 N PARK AVE
POMONA, CA 91768
Los Angeles County (909) 623-4050
ZOILA RAMIREZ
Community Health Worker
1196 N PARK AVE
POMONA, CA 91768
Los Angeles County (909) 623-4050
CHRISTIAN CUSTODIO FNP
Nurse Practitioner (Primary Care)
1196 N PARK AVE
POMONA, CA 91768
Los Angeles County (909) 623-4050
MALLU REDDY MD INC
Clinic/Center (Urgent Care)
1196 N PARK AVE
POMONA, CA 91768
Los Angeles County (909) 623-4050
MALLU C REDDY MD
Internal Medicine
1196 N PARK AVE
POMONA, CA 91768
Los Angeles County (909) 623-4050
CHAPARRAL MEDICAL GROUP,INC.
Family Medicine
1196 N PARK AVE
POMONA, CA 91768
Los Angeles County (909) 629-2050

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 Anh Phan's NPI number?

The NPI number for Anh Phan is 1265050546. It was assigned to this individual provider in the NPPES registry on July 13, 2020.

Where is Anh Phan located?

Anh Phan practices at 1196 N Park Ave, Pomona, CA 91768. The listed phone number is (909) 623-4050.

What is Anh Phan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Anh Phan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Anh Phan was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.