MAI TUYET PHAN MEDICAL CLINIC A PROFESSIONAL CORPORATION
NPI 1588969026
Clinic/Center - Health Service in Reseda, CA
About Mai Tuyet Phan Medical Clinic A Professional Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAI TUYET PHAN MEDICAL CLINIC A PROFESSIONAL CORPORATION (NPI 1588969026) is a healthcare organization registered as a health service in Reseda, California and active in the NPI registry since January 2011. The organization holds a CLIA Microscopy certificate valid through February 28, 2027 and lists Mai Tuyet Phan, M.d., as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mai Tuyet Phan Medical Clinic A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Mai Tuyet Phan Medical Clinic A Professional Corporation, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0906648
Mai Tuyet Phan Medical Clinic · Reseda, CAFrequently 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 Mai Tuyet Phan Medical Clinic A Professional Corporation's NPI number?
The NPI number for Mai Tuyet Phan Medical Clinic A Professional Corporation is 1588969026. It was assigned to this organization in the NPPES registry on January 13, 2011.
Where is Mai Tuyet Phan Medical Clinic A Professional Corporation located?
Mai Tuyet Phan Medical Clinic A Professional Corporation is located at 18625 Sherman Way Suite 104, Reseda, CA 91335. The listed phone number is (818) 342-8171.
What is Mai Tuyet Phan Medical Clinic A Professional Corporation's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.
Is Mai Tuyet Phan Medical Clinic A Professional Corporation enrolled in Medicare?
Yes. Mai Tuyet Phan Medical Clinic A Professional Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mai Tuyet Phan Medical Clinic A Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Mai Tuyet Phan Medical Clinic A Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mai Tuyet Phan Medical Clinic A Professional Corporation hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0906648) is associated with this NPI, valid through February 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Mai Tuyet Phan Medical Clinic A Professional Corporation was last updated on October 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Mai Tuyet Phan Medical Clinic A Professional Corporation · NPI 1588969026
Health Service organization in Reseda, California. Organization record, active in the CMS NPPES registry since January 13, 2011.
## Identity
- **NPI:** 1588969026 (Entity type: Organization)
- **Enumerated:** January 13, 2011
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Organization subpart:** No
- **Authorized official:** Mai Phan, M.D.
## Practice location
- **Address:** 18625 SHERMAN WAY, SUITE 104, Reseda, CA 91335-4148
- **Phone:** (818) 342-8171
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Internal Medicine) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 7, 2011
- **Other identifiers:** Medicare UPIN G02228 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1588969026) · Data from the CMS NPPES public registry.