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DR. SAMUEL SHING KWAN PHEN MD
NPI 1619504347
Student in an Organized Health Care Education/Training Program in Riverside, CA

Active since March 24, 2020
14350 MERIDIAN PKWY, RIVERSIDE, CA 92518(909) 475-2612(909) 475-5059 Get Directions Write a Review

NPPES record last updated: May 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 16, 2023, Apr 2, 2020, Mar 24, 2020 (3 updates tracked since 2020).

About Dr. Samuel Shing Kwan Phen Md NPPES

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

DR. SAMUEL SHING KWAN PHEN MD (NPI 1619504347) is an individual student in an organized health care education/training program in Riverside, California and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1619504347
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. SAMUEL SHING KWAN PHENCredential: MD
Location Address14350 MERIDIAN PKWYRiverside, CA 92518-3035
Mailing Address14350 Meridian PkwyRiverside, CA 92518-3035 · (909) 475-2612 · Fax (909) 475-5059
Phone(909) 475-2612
Fax(909) 475-5059
Sole ProprietorNo
Enumeration DateMarch 24, 2020
Last NPPES UpdateMay 16, 20233 updates tracked since enumeration
NPPES CertifiedMay 16, 2023
✔ NPI 1619504347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
14350 MERIDIAN PKWY, Riverside, CA 92518
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Other Providers at the Same Location NPPES 17

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

CHANTAL SOLIMAN ELGAWLY MD
Family Medicine
14350 MERIDIAN PKWY
RIVERSIDE, CA 92518
Riverside County (951) 827-7706
KEVIN QUINONEZ-TRUONG
Psychiatry & Neurology (Psychiatry)
14350 MERIDIAN PKWY
RIVERSIDE, CA 92518
Riverside County (951) 827-1012
ALEXANDER TSANG MD
Psychiatry & Neurology (Psychiatry)
14350 MERIDIAN PKWY
RIVERSIDE, CA 92518
Riverside County (951) 827-7669
ZHENGRAN WANG DO
Internal Medicine
14350 MERIDIAN PKWY
RIVERSIDE, CA 92518
Riverside County (951) 827-7669
SIREENA SY MD
Student in an Organized Health Care Education/Training Program
14350 MERIDIAN PKWY
RIVERSIDE, CA 92518
Riverside County (951) 827-4618
DR. ANTONIO GARCIA MD
Family Medicine
14350 MERIDIAN PKWY
RIVERSIDE, CA 92518
Riverside County (951) 827-7669
CATHERINE BANH MD
Student in an Organized Health Care Education/Training Program
14350 MERIDIAN PKWY
RIVERSIDE, CA 92518
Riverside County (951) 827-9197
DANIEL JACOB HARRINGTON
Student in an Organized Health Care Education/Training Program
14350 MERIDIAN PKWY
RIVERSIDE, CA 92518
Riverside County (951) 827-7669

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 Samuel Phen's NPI number?

The NPI number for Samuel Phen is 1619504347. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Where is Samuel Phen located?

Samuel Phen practices at 14350 Meridian Pkwy, Riverside, CA 92518. The listed phone number is (909) 475-2612.

What is Samuel Phen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Samuel Phen was last updated on May 16, 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.