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DR. DOUGLAS H. PHAN M.D.
NPI 1366671992
Psychiatry & Neurology - Psychiatry in Riverside, CA

Active since July 02, 2009PECOS Enrolled
769 W BLAINE ST, SUITE B, RIVERSIDE, CA 92507(951) 358-4705 Get Directions Write a Review

NPPES record last updated: October 20, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Douglas H. Phan M.d. NPPES

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

DR. DOUGLAS H. PHAN M.D. (NPI 1366671992) is an individual psychiatry provider in Riverside, California, licensed in California (A114481) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366671992
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. DOUGLAS H. PHANCredential: M.D.
Location Address769 W BLAINE ST, SUITE BRiverside, CA 92507-3970
Mailing Address769 W Blaine St, Suite BRiverside, CA 92507-3970 · (951) 358-4705
Phone(951) 358-4705
Sole ProprietorYes
Enumeration DateJuly 2, 2009
Last NPPES UpdateOctober 20, 2016
✔ NPI 1366671992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · A114481
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
769 W BLAINE ST, Riverside, CA 92507
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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)

Dr. Douglas H. Phan 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92507 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
$179.42 typical visit price
range $59.60 – $179.42
Typical copayment $44.85 (range $14.90 – $44.85)
Most-billed visit code 99205
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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 20

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

MR. MARK ANTHONY SLAUGHTER SR. LVN
Licensed Vocational Nurse
769 W BLAINE ST
RIVERSIDE, CA 92507
Riverside County (951) 358-4705
LILA SAMADY LCSW
Social Worker (Clinical)
769 W BLAINE ST
RIVERSIDE, CA 92507
Riverside County (951) 358-6895
MS. LAVERNE ZETA BENNETT RN,MSN, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
769 W BLAINE ST
RIVERSIDE, CA 92507
Riverside County (951) 358-4523
JING LU
Psychiatry & Neurology (Psychiatry)
769 W BLAINE ST, SUITE B
RIVERSIDE, CA 92507
Riverside County (951) 358-4705
CLAUDIA ELIAS LVN
Licensed Vocational Nurse
769 W BLAINE ST, SUITE B
RIVERSIDE, CA 92507
Riverside County (951) 358-5001
COUNTY OF RIVERSIDE
Community/Behavioral Health
769 W BLAINE ST, SUITE A
RIVERSIDE, CA 92507
Riverside County (951) 955-8000
COUNTY OF RIVERSIDE
Community/Behavioral Health
769 W BLAINE ST, SUITE B
RIVERSIDE, CA 92507
Riverside County (951) 358-4705
MR. DUSTIN DREW TEXEIRA REGISTERED NURSE
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
769 W BLAINE ST, SUITE A
RIVERSIDE, CA 92507
Riverside County (951) 358-6895

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 Douglas Phan's NPI number?

The NPI number for Douglas Phan is 1366671992. It was assigned to this individual provider in the NPPES registry on July 2, 2009.

Where is Douglas Phan located?

Douglas Phan practices at 769 W Blaine St Suite B, Riverside, CA 92507. The listed phone number is (951) 358-4705.

What is Douglas Phan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Douglas Phan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Douglas Phan was last updated on October 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.