PETER BINH PHAN DMD
NPI 1558496174
Dentist - General Practice in Gardena, CA

Active since February 22, 2007
16229 S WESTERN AVE STE 2, GARDENA, CA 90247(408) 256-3435 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2023, Jul 24, 2018 (2 updates tracked since 2018).

About Peter Binh Phan Dmd NPPES

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

PETER BINH PHAN DMD (NPI 1558496174) is an individual general practice provider in Gardena, California, licensed in California (54722) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1558496174
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NamePETER BINH PHANCredential: DMD
Location Address16229 S WESTERN AVE STE 2Gardena, CA 90247
Mailing Address16229 S Western Ave Ste 2Gardena, CA 90247-4660 · (408) 256-3435
Sole ProprietorNo
Enumeration DateFebruary 22, 2007
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPI 1558496174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 54722
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
16229 S WESTERN AVE STE 2, Gardena, CA 90247

Other Identifiers 1

Other54722CA · Ca Dmd License

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Dentist (General Practice)
16229 S WESTERN AVE STE 2
GARDENA, CA 90247
Clinic/Center (Dental)
16229 S WESTERN AVE STE 2
GARDENA, CA 90247
Dentist (General Practice)
16229 S WESTERN AVE STE 2
GARDENA, CA 90247

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 Peter Phan's NPI number?

The NPI number for Peter Phan is 1558496174. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Where is Peter Phan located?

Peter Phan practices at 16229 S Western Ave Ste 2, Gardena, CA 90247. The listed phone number is (408) 256-3435.

What is Peter Phan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Peter Phan accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Peter Phan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Peter Phan was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.