1. Home
  2. Directory
  3. California
  4. Cerritos
  5. Physician Assistant
  6. NPI Profile

MARY NHUNG HOAI PHAN
NPI 1396610341
Physician Assistant in Cerritos, CA

Active since October 09, 2025
17100 NORWALK BLVD STE 101, CERRITOS, CA 90703(562) 232-9420 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2025, Oct 9, 2025 (2 updates tracked since 2025).

About Mary Nhung Hoai Phan NPPES

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

MARY NHUNG HOAI PHAN (NPI 1396610341) is an individual physician assistant in Cerritos, California, licensed in Florida (9120846) and active in the NPI registry since October 2025. She maintains a secondary practice location in Royal Palm Beach.

NPPES Registry Identity

NPI1396610341
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY NHUNG HOAI PHAN
Location Address17100 NORWALK BLVD STE 101Cerritos, CA 90703-2750
Mailing Address9801 Belvedere RdRoyal Palm Beach, FL 33411-3640 · (561) 273-6500
Phone(562) 232-9420
Sole ProprietorNo
Enumeration DateOctober 9, 2025
Last NPPES UpdateDecember 8, 20252 updates tracked since enumeration
NPPES CertifiedDecember 8, 2025
✔ NPI 1396610341 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 FL · 9120846
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.
17100 NORWALK BLVD STE 101, Cerritos, CA 90703
Open in Google Maps ↗

Secondary Practice Location 1

Location 19801 Belvedere RdRoyal Palm Beach, FL 33411-3640 · Phone (561) 273-6500

Other Providers at the Same Location NPPES 5

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

MICHELLE TOQUYEN BUI
Physician Assistant
17100 NORWALK BLVD STE 101
CERRITOS, CA 90703
Los Angeles County (562) 860-2111
MRS. LINNEA V SMITH PA-C
Internal Medicine (Rheumatology)
17100 NORWALK BLVD STE 101
CERRITOS, CA 90703
Los Angeles County (562) 860-2111
DIPTI DOSHI MD, INC.
Internal Medicine (Rheumatology)
17100 NORWALK BLVD STE 101
CERRITOS, CA 90703
Los Angeles County (562) 860-2111
JOCELYN LINH NGUYEN PA
Physician Assistant
17100 NORWALK BLVD STE 101
CERRITOS, CA 90703
Los Angeles County (562) 860-2111
HEMANG J DOSHI PHYSICIAN ASSISTANT
Physician Assistant
17100 NORWALK BLVD STE 101
CERRITOS, CA 90703
Los Angeles County (562) 860-2111

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 Mary Phan's NPI number?

The NPI number for Mary Phan is 1396610341. It was assigned to this individual provider in the NPPES registry on October 9, 2025.

Where is Mary Phan located?

Mary Phan practices at 17100 Norwalk Blvd Ste 101, Cerritos, CA 90703. The listed phone number is (562) 232-9420.

What is Mary Phan's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Phan was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.