PHONG DOAN (NPI# 1194389262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194389262 |
| Entity Type | Individual |
| Full Name | PHONG DOAN |
| Practice Address |
12912 Brookhurst St Ste 480 Garden Grove CA 92840-4867 |
| Practice Telephone | 7146366286 |
| Mailing Telephone | 7146366286 |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
12912 BROOKHURST ST STE 480 |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92840-4867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215290622 | Bao Gia Le | Marriage & Family Therapist | 12912 Brookhurst St Ste 480, Garden Grove, CA 92840-4867 | 2012-06-20 |
| 1033725981 | Taiyee Vue | Counselor | 12912 Brookhurst St Ste 480, Garden Grove, CA 92840-4867 | 2020-09-16 |
| 1407460991 | Weiting Tiffany Chen | Counselor | 12912 Brookhurst St Ste 480, Garden Grove, CA 92840-4867 | 2020-09-02 |
| 1770109902 | Sharon Hsiang-hsuen Hou | Marriage & Family Therapist | 12912 Brookhurst St Ste 480, Garden Grove, CA 92840-4867 | 2020-06-23 |
| 1790300622 | Emily Kim | Counselor | 12912 Brookhurst St Ste 480, Garden Grove, CA 92840-4867 | 2020-06-16 |
| 1073132700 | Phuong Nguyen | Counselor | 12912 Brookhurst St Ste 480, Garden Grove, CA 92840-4867 | 2020-04-13 |
| 1184257099 | Trang Ngoc Thuy Nguyen | Counselor | 12912 Brookhurst St Ste 480, Garden Grove, CA 92840-4867 | 2020-02-19 |
| 1548892748 | Wei-shan Chang | Marriage & Family Therapist | 12912 Brookhurst St Ste 480, Garden Grove, CA 92840-4867 | 2020-02-06 |
| 1003453994 | Lynn Shim | Counselor | 12912 Brookhurst St Ste 480, Garden Grove, CA 92840-4867 | 2019-12-10 |
| 1851935514 | Chau Minh Nguyen | Counselor | 12912 Brookhurst St Ste 480, Garden Grove, CA 92840-4867 | 2019-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588283808 | Kimberly Gaeta | Behavioral Analyst | 123935 Lewis Street, Ste 202, Garden Grove, CA 92840 | 2020-04-16 |
| 1396397170 | Rosa Cortez | Behavior Technician | 12443 Lewis Street, #201, Garden Grove, CA 92840 | 2019-07-12 |
| 1376005934 | Sekboppa Sor | Nurse Practitioner | An Lanh Free Clinic, 10861 Acacia Pkwy., Garden Grove, CA 92840 | 2019-04-03 |
| 1346730116 | Vinh Le Tran | Pharmacist | 12666 Brookhurst St. Suite 110, Garden Grove, CA 92840 | 2018-05-16 |
| 1841715232 | Scott R. Blair | Physician Assistant | 12828 Harbor Blvd Ste 200, Garden Grove, CA 92840 | 2017-08-07 |
| 1881049492 | Carmen Keally | Dietitian, Registered | 12602 9th St, Garden Grove, CA 92840 | 2016-05-02 |
| 1548688732 | House Call Medical Associates, Inc. | Internal Medicine | 12865 Main St Ste 105, Garden Grove, CA 92840 | 2014-04-03 |
| 1851733059 | Carly Ann Wade | Marriage & Family Therapist | 12755 Brookhurst St. Ste 116, Garden Grove, CA 92840 | 2013-07-29 |
| 1003159864 | Priyal Shah Ohri | Dentist | 10602 Chapman Ave, Suite 200, Garden Grove, CA 92840 | 2013-03-30 |
| 1770853244 | Joseph Pham | Pharmacist | 12001 Euclid St., Garden Grove, CA 92840 | 2011-12-30 |
| Find all providers in zip 92840 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881182202 | Andrew Nguyen | Case Manager/Care Coordinator | 12912 Brookhurst St Ste 410, Garden Grove, CA 92840-4871 | 2018-05-01 |
| 1649796111 | Jesus Torres | Case Manager/Care Coordinator | 9862 Chapman Ave Suite B, Garden Grove, CA 92841 | 2017-08-16 |
| 1790219855 | Luz Janeth Garcia Marin | Case Manager/Care Coordinator | 10602 Chapman Ave., Garden Grove, CA 92840-3146 | 2017-04-16 |
| 1225571227 | Nicole Nguyen | Case Manager/Care Coordinator | 12900 Garden Grove Blvd Ste 225, Garden Grove, CA 92843-2006 | 2016-11-22 |
| 1114385838 | Quyen Do | Case Manager/Care Coordinator | 9862 Chapman Ave, Ste. B, Garden Grove, CA 92841 | 2016-02-09 |
| 1588039234 | Juanita Valencia | Case Manager/Care Coordinator | 10602 Chapman Ave Ste 101, Garden Grove, CA 92840-3147 | 2015-12-07 |
| 1023348034 | Nguyen Quoc Phan | Case Manager/Care Coordinator | 12900 Garden Grove Blvd Ste 214, Garden Grove, CA 92843-2006 | 2010-01-14 |
| 1417102542 | Mary Dang | Case Manager/Care Coordinator | 13651 Yoak St, Garden Grove, CA 92844-2733 | 2008-11-17 |
| 1457995441 | Cindy Thu Cung | Case Manager/Care Coordinator | 9862 Chapman Ave, Garden Grove, CA 92841-2726 | 2019-11-01 |
| 1548828791 | Cathy Dao | Case Manager/Care Coordinator | 9862 Chapman Ave Ste B, Garden Grove, CA 92841-2726 | 2019-06-03 |
| Find all providers in GARDEN GROVE | ||||
| City | GARDEN GROVE |
| Zip Code | 92840 |
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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.