STEVEN PHAN (NPI# 1730660929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730660929 |
| Entity Type | Individual |
| Full Name | STEVEN PHAN |
| Credential | DDS |
| Practice Address |
26682 Avenida Shonto Mission Viejo CA 92691-2610 |
| Mailing Address |
1451 Rocky Ridge Dr Apt 616 Roseville CA 95661-3005 |
| Practice Telephone | 9496365846 |
| Mailing Telephone | 9496365846 |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2018-12-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
103196 | CA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
10148 | AZ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437637360 | Steven Phan | Pharmacist | 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112-4265 | 2018-08-02 |
| 1740613314 | Steven T Phan | Internal Medicine | 4805 Ne Glisan St Ste Bg05, Portland, OR 97213-2933 | 2013-08-18 |
| Street Address |
26682 AVENIDA SHONTO |
| City | MISSION VIEJO |
| State | CA |
| Zip Code | 92691-2610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748247 | Sonja Wood | Registered Nurse | 92691 Avenida Deseo, Mission Viejo, CA 92691 | 2020-04-09 |
| 1912488487 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 27551 Puerta Real, Mission Viejo, CA 92691 | 2018-08-23 |
| 1518457704 | Leon Baginski Md Inc | Obstetrics & Gynecology | 26800 Crown Valley Pkwy Ste 560, Mission Viejo, CA 92691 | 2018-05-14 |
| 1215426762 | Gail G Warner | Marriage & Family Therapist | 26050 Acero, Suite 301, Mission Viejo, CA 92691 | 2018-05-09 |
| 1508354176 | Tania Choudhary | Student in an Organized Health Care Education/Training Program | 23595 Rangoon St, Mission Viejo, CA 92691 | 2018-04-28 |
| 1710486519 | Aubriana Denise Gray | Counselor | 25802 Pacifica Ave, Mission Viejo, CA 92691 | 2018-02-07 |
| 1487162707 | Alberto Israel Galicia | Case Manager/Care Coordinator | 27261 Las Ramblas, Suite 220, Mission Viejo, CA 92691 | 2018-01-22 |
| 1629595244 | Elisabeth A Lischer | Counselor | 26137 La Paz Road, Suite 230, Mission Viejo, CA 92691 | 2017-08-24 |
| 1639694227 | Dr. Horiyat, A Dental Corporation | Dentist | 27652 Crown Valley Parkway, Mission Viejo, CA 92691 | 2017-08-04 |
| 1255851689 | Jackelin Liseth Martinez | Counselor | 25402 Pacifica Avenue, Mission Viejo, CA 92691 | 2017-06-27 |
| Find all providers in zip 92691 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639694227 | Dr. Horiyat, A Dental Corporation | Dentist | 27652 Crown Valley Parkway, Mission Viejo, CA 92691 | 2017-08-04 |
| 1881137107 | Iman Abdeshahian | Dentist | 26331 Golada, Mission Viejo, CA 92692-3286 | 2016-11-18 |
| 1952777096 | Daniel Robert Shaw | Dentist | 25522 Marguerite Pkwy Ste 100, Mission Viejo, CA 92692-2920 | 2015-08-12 |
| 1982023792 | Ada Gruita, A Dental Corporation | Dentist | 27680 Santa Margarita Pkwy, Mission Viejo, CA 92691-6674 | 2014-04-09 |
| 1205112091 | Sarah Pham | Dentist | 22221 Birchleaf, Mission Viejo, CA 92692-4510 | 2011-10-25 |
| 1710265251 | Sheila M Tedja Luwiharto | Dentist | 27001 La Paz Rd Ste 236, Mission Viejo, CA 92691-5537 | 2011-08-02 |
| 1255624953 | Tammam Sheabar Dds, Inc | Dentist | 27725 Santa Margarita Pky, #261, Mission Viejo, CA 92691 | 2011-05-27 |
| 1356631014 | Kagalwala Professional Dental Inc. | Dentist | 27775 Santa Margarita Pkwy Ste E, Mission Viejo, CA 92691-6702 | 2011-04-14 |
| 1801026919 | Jeffrey Valdez Flores | Dentist | 28261 Marguerite Pkwy Ste 150, Mission Viejo, CA 92692-3702 | 2009-07-23 |
| 1407016124 | Cheryl Angela Meregillano | Dentist | 27725 Santa Margarita Pkwy., #261, Mission Viejo, CA 92691 | 2008-06-16 |
| Find all providers in MISSION VIEJO | ||||
| City | MISSION VIEJO |
| Zip Code | 92691 |
Please comment or provide details below to improve the information on STEVEN PHAN.
| 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.