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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAMUEL KHOA PHAN
NPI 1932877578
Social Worker - Clinical in Anaheim, CA

Active since August 30, 2021
222 S HARBOR BLVD STE 400, ANAHEIM, CA 92805(714) 517-6300 Get Directions Write a Review

NPPES record last updated: October 11, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 11, 2026, Apr 25, 2026, Oct 16, 2023 and 2 more (5 updates tracked since 2022).

About Samuel Khoa Phan NPPES

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

SAMUEL KHOA PHAN (NPI 1932877578) is an individual clinical provider in Anaheim, California, licensed in California (LCSW142699) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1932877578
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameSAMUEL KHOA PHAN
Location Address222 S HARBOR BLVD STE 400Anaheim, CA 92805-3743
Mailing Address222 S Harbor Blvd Ste 400Anaheim, CA 92805-3743 · (714) 517-6300 · Fax (714) 517-6306
Phone(714) 517-6300
Sole ProprietorNo
Enumeration DateAugust 30, 2021
Last NPPES UpdateOctober 11, 20265 updates tracked since enumeration
NPPES CertifiedOctober 11, 2026
✔ NPI 1932877578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · LCSW142699
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
222 S HARBOR BLVD STE 400, Anaheim, CA 92805
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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.

CHELSEA ELIZABETH NUNN
Social Worker (Clinical)
222 S HARBOR BLVD STE 400
ANAHEIM, CA 92805
Orange County (714) 517-6300
ELANA ELLEN RANDOL LCSW
Social Worker (Clinical)
222 S HARBOR BLVD STE 400
ANAHEIM, CA 92805
Orange County (714) 517-6300
COUNTY OF ORANGE
Clinic/Center (Adult Mental Health)
222 S HARBOR BLVD STE 400
ANAHEIM, CA 92805
Orange County (714) 517-6300
MISS JENNIE ISAURA PORTILLO
Counselor
222 S HARBOR BLVD STE 400
ANAHEIM, CA 92805
Orange County (714) 517-6300
JENNIFER PAULENE GARCES
Registered Nurse
222 S HARBOR BLVD STE 400
ANAHEIM, CA 92805
Orange County (714) 517-6300
MRS. RACHELLE SALDANA SUPPIPHATVONG
Social Worker (Clinical)
222 S HARBOR BLVD STE 400
ANAHEIM, CA 92805
Orange County (714) 517-6300
JULIE NGO
Social Worker
222 S HARBOR BLVD STE 400
ANAHEIM, CA 92805
Orange County (714) 517-6300
ERIKA FIELDS
Student in an Organized Health Care Education/Training Program
222 S HARBOR BLVD STE 400
ANAHEIM, CA 92805
Orange County (714) 517-6300

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 Phan's NPI number?

The NPI number for Samuel Phan is 1932877578. It was assigned to this individual provider in the NPPES registry on August 30, 2021.

Where is Samuel Phan located?

Samuel Phan practices at 222 S Harbor Blvd Ste 400, Anaheim, CA 92805. The listed phone number is (714) 517-6300.

What is Samuel Phan's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Samuel Phan was last updated on October 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 days 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.