PRISCILLA PHAN DO - NPI 1629770201 - Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Q: What is Priscilla Phan's NPI number?

The NPI number for Priscilla Phan is 1629770201. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Q: What is Priscilla Phan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Priscilla Phan was last updated on July 10, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Priscilla Phan Do NPPES

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

PRISCILLA PHAN DO (NPI 1629770201) is an individual student in an organized health care education/training program in Los Angeles, California, licensed in California (20A25400) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629770201

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NamePRISCILLA PHANCredential: DO

Location Address8723 ALDEN DR STE 290Los Angeles, CA 90048-3692

Mailing Address8723 Alden Dr Ste 290Los Angeles, CA 90048-3692 · (310) 385-3228

Phone(310) 385-3228

Sole ProprietorNo

Enumeration DateMarch 20, 2023

Last NPPES UpdateJuly 10, 20262 updates tracked since enumeration

NPPES CertifiedJuly 10, 2026

✔ NPI 1629770201 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

License✔ Licensed in CA · 20A25400

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.

8723 ALDEN DR STE 290, Los Angeles, CA 90048

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Priscilla Phan Do 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.