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MINH ANH PHAN STUDENT
NPI 1669050266
Pediatrics in Loma Linda, CA

Active since April 02, 2021PECOS Enrolled
11234 ANDERSON ST GME OFFICE WESTERLY SUITE C, LOMA LINDA, CA 92354(909) 558-4174 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 14, 2024, Apr 2, 2021 (2 updates tracked since 2021).

About Minh Anh Phan Student NPPES

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

MINH ANH PHAN STUDENT (NPI 1669050266) is an individual pediatrics provider in Loma Linda, California, licensed in California (22617) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669050266
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMINH ANH PHANCredential: STUDENT
Location Address11234 ANDERSON ST GME OFFICE WESTERLY SUITE CLoma Linda, CA 92354-2804
Mailing Address11234 Anderson Street Gme Office Westerly Suite CLoma Linda, CA 92354-2804 · (909) 558-4174
Phone(909) 558-4174
Sole ProprietorNo
Enumeration DateApril 2, 2021
Last NPPES UpdateAugust 14, 20242 updates tracked since enumeration
NPPES CertifiedAugust 14, 2024
✔ NPI 1669050266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · 22617
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
11234 ANDERSON ST GME OFFICE WESTERLY SUITE C, Loma Linda, CA 92354
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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)

Minh Anh Phan Student 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 92354 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Minh Phan's NPI number?

The NPI number for Minh Phan is 1669050266. It was assigned to this individual provider in the NPPES registry on April 2, 2021.

Where is Minh Phan located?

Minh Phan practices at 11234 Anderson St Gme Office Westerly Suite C, Loma Linda, CA 92354. The listed phone number is (909) 558-4174.

What is Minh Phan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Minh Phan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Minh Phan was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.