PAULINE QUYNH PHAN
NPI 1417419680
Psychiatry & Neurology - Psychiatry in Monrovia, CA

Q: What is Pauline Phan's NPI number?

The NPI number for Pauline Phan is 1417419680. It was assigned to this individual provider in the NPPES registry on April 4, 2019.

Q: What is Pauline Phan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Pauline Phan was last updated on November 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since April 04, 2019PECOS EnrolledAccepts Medicare Assignment

902 S MYRTLE AVE, MONROVIA, CA 91016(626) 357-3258 Get Directions Write a Review

NPPES record last updated: November 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2023, Jul 18, 2022, Jul 8, 2022 and 2 more (5 updates tracked since 2019).

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About Pauline Quynh Phan NPPES

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

PAULINE QUYNH PHAN (NPI 1417419680) is an individual psychiatry provider in Monrovia, California, licensed in California (20A19931) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of West Virginia School Of Osteopathic Medicine (2019).

NPPES Registry Identity

NPI1417419680

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NamePAULINE QUYNH PHAN

Location Address902 S MYRTLE AVEMonrovia, CA 91016-3427

Mailing Address902 S Myrtle AveMonrovia, CA 91016-3427 · (626) 357-3258

Phone(626) 357-3258

Sole ProprietorNo

Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2019

Enumeration DateApril 4, 2019

Last NPPES UpdateNovember 1, 20245 updates tracked since enumeration

NPPES CertifiedNovember 1, 2024

✔ NPI 1417419680 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 · 20A19931

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.

902 S MYRTLE AVE, Monrovia, CA 91016

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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 and accepts Medicare assignment

Pauline Quynh 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 ID8729313127

PECOS Enrollment IDI20241009004267

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 91016 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

$187.60 typical visit price

range $62.96 – $187.60

Typical copayment $46.90 (range $15.74 – $46.90)

Most-billed visit code 99205

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 20

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

EMMELINE ELIZABETH HASSELER

Community Health Worker