KELLY NGUYEN PHAN (NPI# 1134553381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134553381 |
| Entity Type | Individual |
| Full Name | KELLY NGUYEN PHAN |
| Credential | DPT |
| Practice Address |
233 Orangefair Mall Fullerton CA 92832-3038 |
| Practice Telephone | 7148706116 |
| Practice Fax Number | 7148709038 |
| Mailing Telephone | 7148706116 |
| Mailing Fax Number | 7148709038 |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2013-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
37683 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578721940 | Kelly Myanh Phan | Internal Medicine | Scott and White Hospital, 2401 South 31st Street, Temple, TX 76508-0001 | 2008-06-01 |
| 1306400783 | Kelly D Phan | Pharmacist | 2514 Berryessa Rd, San Jose, CA 95132-2947 | 2019-05-01 |
| 1295266823 | Kelly Phan | Student in an Organized Health Care Education/Training Program | 1 Baylor Plz, Bcm 320, Houston, TX 77030-3411 | 2017-03-24 |
| 1760611248 | Kelly Phuong Phan | Optometrist | 18700 Limestone Commercial Dr, Pflugerville, TX 78660-6544 | 2009-07-06 |
| Street Address |
233 ORANGEFAIR MALL |
| City | FULLERTON |
| State | CA |
| Zip Code | 92832-3038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396053716 | Therapy for Kids, Inc. | Physical Therapist | 233 Orangefair Mall, Fullerton, CA 92832 | 2010-09-20 |
| 1366059073 | James Horng-hwai Lee | Occupational Therapist | 233 Orangefair Mall, Fullerton, CA 92832-3038 | 2020-09-26 |
| 1487116026 | Danielle Noriega-jereza | Occupational Therapist | 233 Orangefair Mall, Fullerton, CA 92832-3038 | 2019-04-02 |
| 1700202413 | Jennifer Marie Gardner | Occupational Therapist | 233 Orangefair Mall, Fullerton, CA 92832-3038 | 2014-03-06 |
| 1740602598 | Elke Tapia | Physical Therapist | 233 Orangefair Mall, Fullerton, CA 92832-3038 | 2014-01-14 |
| 1598191561 | Ryan Owen Miller | Occupational Therapist | 233 Orangefair Mall, Fullerton, CA 92832-3038 | 2013-09-22 |
| 1952737553 | Jennifer Kisela Draper | Occupational Therapist | 233 Orangefair Mall, Fullerton, CA 92832-3038 | 2013-09-16 |
| 1821423435 | Bernadette Pelayo | Occupational Therapist | 233 Orangefair Mall, Fullerton, CA 92832-3038 | 2013-09-13 |
| 1831524578 | Miriam Martha Adkins | Occupational Therapist | 233 Orangefair Mall, Fullerton, CA 92832-3038 | 2013-09-12 |
| 1952735953 | Elisabeth Blaney | Occupational Therapist | 233 Orangefair Mall, Fullerton, CA 92832-3038 | 2013-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932735669 | Diana Hernandez | Behavior Technician | 413 W Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2020-03-13 |
| 1942830013 | Karen Marie Winkle | Speech-Language Pathologist | 812 Lois Lane, Fullerton, CA 92832 | 2020-01-17 |
| 1578122487 | Andrea Arevalo | Behavior Technician | 713 Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2019-06-13 |
| 1275090193 | Madison Elizabeth Miller | Behavior Technician | 714 W Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2019-02-27 |
| 1528525862 | Samantha Rivas | Behavior Technician | 713 W Commonwealth Ave., Suite C, Fullerton, CA 92832 | 2019-02-22 |
| 1760948483 | Marcus Gerard Chavez | Behavioral Analyst | 713 West Commonwealth Suite A, Fullerton, U.S.A 92832 | 2019-02-19 |
| 1710443437 | Rolando Jimenez | Behavior Technician | 713 W. Commonwealth, Suite A, La Habra, CA 92832 | 2019-02-18 |
| 1659872919 | Anthony James Arneson | Marriage & Family Therapist | 120 N Lawrence, Fullerton, CA 92832 | 2018-02-22 |
| 1407302243 | Be Well Pharmacy Inc | Pharmacy | 105 N Lawrence Ave, Fullerton, CA 92832 | 2016-08-31 |
| 1871907972 | Edward Walls | Counselor | 771 W.orangethorpe Ave., Fullerton, CA 92832 | 2014-06-17 |
| Find all providers in zip 92832 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396053716 | Therapy for Kids, Inc. | Physical Therapist | 233 Orangefair Mall, Fullerton, CA 92832 | 2010-09-20 |
| 1578879862 | Eun-chong Kim | Physical Therapist | 2873 Muir Trail Dr, Fullerton, CA 92833-5517 | 2010-08-24 |
| 1932239589 | Susanne Treacher | Physical Therapist | 2150 Hilltop Ct, Fullerton, CA 92831-1311 | 2007-03-06 |
| 1902858871 | Kelly Hilliard | Physical Therapist | 1300 S. Richman Ave., Fullerton, CA 92832 | 2006-05-17 |
| 1467404145 | Darlene Snyder | Physical Therapist | 1300 South Richman Ave, Fullerton, CA 92832 | 2006-05-17 |
| 1740602598 | Elke Tapia | Physical Therapist | 233 Orangefair Mall, Fullerton, CA 92832-3038 | 2014-01-14 |
| 1497191381 | Serina Quan | Physical Therapist | 233 Orangefair Mall, Fullerton, CA 92832-3038 | 2013-05-17 |
| 1003102112 | Christy Marilo | Physical Therapist | 233 Orangefair Mall, Fullerton, CA 92832-3038 | 2011-06-27 |
| 1013200849 | Brenda Ann Camarena | Physical Therapist | 233 Orangefair Mall, Fullerton, CA 92832-3038 | 2011-05-26 |
| 1578856860 | Nakisa Danyal Verdugo-garcia | Physical Therapist | 233 Orangefair Mall, Fullerton, CA 92832-3038 | 2011-05-19 |
| Find all providers in FULLERTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.