DR. KATHLEEN CATLAN PHAN O.D.
NPI 1427617505
Optometrist in Santa Monica, CA

Q: What is Kathleen Phan's NPI number?

The NPI number for Kathleen Phan is 1427617505. It was assigned to this individual provider in the NPPES registry on June 11, 2019.

Q: What is Kathleen Phan's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Phan was last updated on January 5, 2022. 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.

Active since June 11, 2019PECOS EnrolledAccepts Medicare Assignment

1355 4TH ST, SANTA MONICA, CA 90401(310) 394-1011 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 5, 2022, Oct 1, 2021, Sep 17, 2021 and 4 more (7 updates tracked since 2019).

On this page

About Dr. Kathleen Catlan Phan O.d. NPPES

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

DR. KATHLEEN CATLAN PHAN O.D. (NPI 1427617505) is an individual optometrist in Santa Monica, California, licensed in California (34398) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2019).

NPPES Registry Identity

NPI1427617505

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. KATHLEEN CATLAN PHANCredential: O.D.

Location Address1355 4TH STSanta Monica, CA 90401-1301

Mailing Address1355 4th StSanta Monica, CA 90401-1301 · (818) 477-7934

Phone(310) 394-1011

Sole ProprietorNo

Medical School CMSSouthern California College Of OptometryGraduated 2019

Enumeration DateJune 11, 2019

Last NPPES UpdateJanuary 5, 20227 updates tracked since enumeration

NPPES CertifiedJanuary 5, 2022

✔ NPI 1427617505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in CA · 34398✔ Licensed in AZ · OPT-002384

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1355 4TH ST, Santa Monica, CA 90401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kathleen Catlan Phan O.d. 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 ID2769714922

PECOS Enrollment IDI20200623000821

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.

Medicare Billing Reassignment

Medicare enrollment records show Kathleen Phan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dr Sun And Dr Sjolund Optometric Corp

Same address

Optometrist

1355 4TH ST
Santa Monica, CA 90401

Reassigned Medicare billing, California enrollment
4 clinicians in this Medicare group

NPI 1316506132 (310) 394-1011

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Photography of content of eyes 92285

Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.

73 services50 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

39 services27 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

37 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90401 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

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 5

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

FRANCESCA DOVE SEFTON OD

Optometrist