DR. ANDY PHAN MD
NPI 1710934088
Pediatrics in Exeter, CA

Q: What is Andy Phan's NPI number?

The NPI number for Andy Phan is 1710934088. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Q: What is Andy Phan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andy Phan was last updated on January 20, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 30, 2006PECOS Enrolled

1014 SAN JUAN AVE, EXETER, CA 93221(559) 592-7371(559) 624-6590 Get Directions Write a Review

NPPES record last updated: January 20, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Andy Phan Md NPPES

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

DR. ANDY PHAN MD (NPI 1710934088) is an individual pediatrics provider in Exeter, California, licensed in California (A75547) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710934088

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. ANDY PHANCredential: MD

Location Address1014 SAN JUAN AVEExeter, CA 93221-1312

Mailing Address1014 San Juan AveExeter, CA 93221-1312 · (559) 592-7371 · Fax (559) 624-6590

Phone(559) 592-7371

Fax(559) 624-6590

Sole ProprietorNo

Enumeration DateMay 30, 2006

Last NPPES UpdateJanuary 20, 2012

✔ NPI 1710934088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A75547

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.

1014 SAN JUAN AVE, Exeter, CA 93221

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Other Identifiers 2

Medicare PINI47399CA

Medicare UPINI47399CA

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. Andy Phan Md 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 93221 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.

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