DR. NGHIA THANH PHAN (D.O.) – Family Medicine Physician, NPI 1164415535

DR. NGHIA THANH PHAN (D.O.) is a healthcare provider. based in Pomona, California. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 20A10219 (CA). The NPI Number for DR. NGHIA THANH PHAN (D.O.) is 1164415535

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. NGHIA THANH PHAN (D.O.)
NPI
1164415535
Phone
(909) 865-2565
Address
795 E 2ND ST STE 5
Enumeration Date
31 August 2005
Last Update Date
6 February 2015

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
8426281387
Group Practice PAC ID
0648208991
Professional Enrollment ID
I20140429001538
Address ID
CA917662007Po795XXSTXX405
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

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Provider Addresses for DR. NGHIA THANH PHAN (D.O.)

  • East 2nd Street, Pomona, Los Angeles County, California, 91766, United States

    POMONA, CA 917662007

    Phone: (909) 865-2565

    Fax: (909) 865-2955

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $331.

Total Amount is formed as General ($331) + Research ($0) + Ownership ($0) = $331.

Last reported payment date: 2024-10-15 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($124).

Total Amount

$331

General + Research + Ownership

Payments

10

Total payment records

General Amount

$331

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-04-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140429001538IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes5833$0
G0444Annual depression screening, 5 to 15 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 91766)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648208991View full group profile
NameSpecialtyState
O P T O M E T R YCA
Family PracticeCA
-CA
-CA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
Psychiatry, Geriatric Psychiatry, NeuropsychiatryCA
Osteopathic Manipulative MedicineCA
P O D I A T R YCA

Reviews

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Frequently asked questions

Where can patients find DR. NGHIA THANH PHAN (D.O.)'s NPI?
You can confirm DR. NGHIA THANH PHAN (D.O.) with NPI 1164415535; it appears in the national provider directory.
Is DR. NGHIA THANH PHAN (D.O.) currently active in the NPI registry?
CMS-published data lists DR. NGHIA THANH PHAN (D.O.) as an active registrant.
What does DR. NGHIA THANH PHAN (D.O.) treat or focus on?
Patients typically see DR. NGHIA THANH PHAN (D.O.) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. NGHIA THANH PHAN (D.O.)?
The snapshot lists Pomona, California for DR. NGHIA THANH PHAN (D.O.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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