DR. TRENT VAN PHAN (D.O.) – Vascular & Interventional Radiology Physician, NPI 1992725980
Vascular & Interventional Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,793 DIAGNOSTIC RADIOLOGY in CA
Provider Addresses for DR. TRENT VAN PHAN (D.O.)
Lawrence J. Ellison Ambulatory Care Center, 4860, Y Street, Sacramento, Sacramento County, California, 95817, United States
SUITE 3100
SACRAMENTO, CA 958172307
Phone: (714) 470-0282
Type: Mailing
2301 BAHAMAS DR
BAKERSFIELD, CA 933090663
Phone: (661) 326-9600
Type: Mailing
University of California, Davis Medical Center, 2315, Stockton Boulevard, Sacramento, Sacramento County, California, 95817, United States
SACRAMENTO, CA 958172201
Phone: (228) 276-4841
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 46 Open Payments records for all available years, with a total value of $3,773.
Total Amount is formed as General ($3,773) + Research ($0) + Ownership ($0) = $3,773.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Inari Medical, Inc. ($1,872).
Total Amount
$3,773
General + Research + Ownership
Payments
46
Total payment records
General Amount
$3,773
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inari Medical, Inc. | $1,872 |
| Penumbra, Inc. | $1,607 |
| Nevro Corp. | $216 |
| Medtronic, Inc. | $58 |
| Cook Medical LLC | $20 |
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: 2025-02-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120604000414 | I | Diagnostic Radiology | CA | TBD |
| I20250228001822 | I | Diagnostic Radiology | MO | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 309 | 11 | $0 |
| 32555 | Aspiration of fluid from chest cavity using imaging guidance | 65 | 56 | $0 |
| 76937 | Ultrasonic guidance for blood vessel access | 62 | 57 | $0 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | 55 | 40 | $0 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | 44 | 42 | $0 |
Insurance plans in this area (ZIP 95817)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | CA |
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