DANIEL PHAN
NPI 1285211573
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since March 24, 2021PECOS EnrolledAccepts Medicare Assignment
1200 N STATE ST, LOS ANGELES, CA 90089(424) 235-9312 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Daniel Phan NPPES

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

DANIEL PHAN (NPI 1285211573) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (2021).

NPPES Registry Identity

NPI1285211573
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDANIEL PHAN
Location Address1200 N STATE STLos Angeles, CA 90089-1001
Mailing Address3662 Cliffsite DrRancho Palos Verdes, CA 90275-6228 · (424) 235-9312
Sole ProprietorYes
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2021
Enumeration DateMarch 24, 2021
NPPES CertifiedMarch 24, 2021
NPI 1285211573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1200 N STATE ST, Los Angeles, CA 90089

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

Daniel Phan 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 ID7719489483
PECOS Enrollment IDI20250903003687
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.

Other Providers at the Same Location NPPES 20

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

Neurological Surgery
1200 N STATE ST, SUITE 3300
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Dermatology
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST, CT-A7D
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089

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 Daniel Phan's NPI number?

The NPI number for Daniel Phan is 1285211573. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Where is Daniel Phan located?

Daniel Phan practices at 1200 N State St, Los Angeles, CA 90089. The listed phone number is (424) 235-9312.

What is Daniel Phan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Daniel Phan enrolled in Medicare?

Yes. Daniel Phan 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 Daniel Phan was last updated on March 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.