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DR. JASON THAI PHAN D.D.S
NPI 1619109303
Dentist - Endodontics in Torrance, CA

Active since August 14, 2009PECOS Enrolled
23451 MADISON ST, STE 210, TORRANCE, CA 90505(310) 378-8342(310) 378-4672 Get Directions Write a Review

NPPES record last updated: August 17, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 17, 2016, Feb 8, 2016 (2 updates tracked since 2016).

About Dr. Jason Thai Phan D.d.s NPPES

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

DR. JASON THAI PHAN D.D.S (NPI 1619109303) is an individual endodontics provider in Torrance, California, licensed in California (58635) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619109303
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. JASON THAI PHANCredential: D.D.S
Location Address23451 MADISON ST, STE 210Torrance, CA 90505-4763
Mailing Address23451 Madison St, Ste 210Torrance, CA 90505-4763 · (310) 378-8342 · Fax (310) 378-4672
Phone(310) 378-8342
Fax(310) 378-4672
Sole ProprietorNo
Enumeration DateAugust 14, 2009
Last NPPES UpdateAugust 17, 20162 updates tracked since enumeration
✔ NPI 1619109303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in CA · 58635
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
23451 MADISON ST, Torrance, CA 90505
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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 (PECOS)

Dr. Jason Thai Phan D.d.s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 90505 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
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.

BLISS MEDICAL GROUP, P.C.
Family Medicine
23451 MADISON ST, SUITE 250
TORRANCE, CA 90505
Los Angeles County (310) 791-0083
TORRANCE NEUROSCAN MEDICAL GROUP
Psychiatry & Neurology (Neurology)
23451 MADISON ST, 205
TORRANCE, CA 90505
Los Angeles County (310) 373-9944
CARDIAC, THORACIC, AND VASCULAR SURGEONS OF THE SOUTH BAY
Thoracic Surgery (Cardiothoracic Vascular Surgery)
23451 MADISON ST, SUITE 300
TORRANCE, CA 90505
Los Angeles County (310) 378-7373
DR. CARL WAGREICH D.P.M.
Podiatrist (Foot & Ankle Surgery)
23451 MADISON ST, STE 230
TORRANCE, CA 90505
Los Angeles County (310) 373-0521
KATHERINE EUNJU LEE M.D., F.A.A.F.P
Family Medicine
23451 MADISON ST, STE 250
TORRANCE, CA 90505
Los Angeles County (310) 791-0083
JANELLE ROBLES MACASIEB PA-C
Physician Assistant
23451 MADISON ST, SUITE 290
TORRANCE, CA 90505
Los Angeles County (310) 375-1246
AMIR KAVIANI M.D.
Surgery (Vascular Surgery)
23451 MADISON ST, SUITE #340
TORRANCE, CA 90505
Los Angeles County (310) 373-6864
JASON PHAN DDS INC.
Dentist (Endodontics)
23451 MADISON ST, STE 210
TORRANCE, CA 90505
Los Angeles County (310) 378-8342

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 Jason Phan's NPI number?

The NPI number for Jason Phan is 1619109303. It was assigned to this individual provider in the NPPES registry on August 14, 2009.

Where is Jason Phan located?

Jason Phan practices at 23451 Madison St Ste 210, Torrance, CA 90505. The listed phone number is (310) 378-8342.

What is Jason Phan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Jason Phan enrolled in Medicare?

Yes. Jason Phan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jason Phan was last updated on August 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.