DR. JIMMY NINH HOANG PHAN (NPI# 1770928962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770928962 |
| Entity Type | Individual |
| Full Name | DR. JIMMY NINH HOANG PHAN |
| Credential | M.D. |
| Practice Address |
900 S Main St #108 Corona CA 92882-3401 |
| Practice Telephone | 9517345450 |
| Mailing Telephone | 9517345450 |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2016-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 141765 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881131118 | Jimmy Phan | Physical Therapist | 24422 Avenida De La Carlota Ste 190, Laguna Hills, CA 92653-3634 | 2017-01-25 |
| 1023302213 | Jimmy Phan | Pharmacist | 1731 Manhattan Blvd, Harvey, LA 70058-3409 | 2011-06-05 |
| Street Address |
900 S MAIN ST #108 |
| City | CORONA |
| State | CA |
| Zip Code | 92882-3401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225037047 | Thomas John Cachur Jr. | Obstetrics & Gynecology | 900 S Main St, Suite 209, Corona, CA 92882 | 2005-07-14 |
| 1124493127 | Eve Summers | Nurse Practitioner | 900 S Main St, Corona, CA 92882-3401 | 2015-12-02 |
| 1063881001 | Women's Institute for Intertility and Reproductive Medicne | Obstetrics & Gynecology | 900 S Main St, Suite 102, Corona, CA 92882-3401 | 2015-09-21 |
| 1881098465 | Christine Michael Lautfy | Chiropractor | 900 S Main St, Suite 110, Corona, CA 92882-3401 | 2014-10-10 |
| 1891135752 | Tarcisio C. Diaz, M.d. A Medical Corporation | Internal Medicine | 900 S Main St, Suite 100, Corona, CA 92882-3401 | 2013-06-25 |
| 1952606410 | Kayla M. Yinger N.p., Inc. | Nurse Practitioner | 900 S Main St, Suite 102, Corona, CA 92882-3401 | 2011-01-14 |
| 1346379583 | Tarcisio Calibo Diaz | Specialist | 900 S Main St, Suite 100, Corona, CA 92882-3401 | 2007-03-05 |
| 1386749638 | Aspen Medical Group, Inc | Pediatrics | 900 S Main St, Suite 209, Corona, CA 92882-3401 | 2006-09-13 |
| 1063421923 | Neung Soo Kim | Radiology | 900 S Main St, Suite 111, Corona, CA 92882-3401 | 2006-08-07 |
| 1689669962 | Rajini Iyer | Obstetrics & Gynecology | 900 S Main St, Ste 102, Corona, CA 92882-3401 | 2005-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477116341 | People Providing Training Solutions | Health Educator | 650 S. Main Street Corona Public Library, Corona, CA 92882 | 2019-04-17 |
| 1972080752 | Boris Shlopov Md Pathology Medical Corporation | Pathology | 800 S Main, Corona, CA 92882 | 2018-07-24 |
| 1316431232 | Julia's Care Hospice | Hospice Care, Community Based | 1450 N Sixth St, Ste 117, Corona, CA 92882 | 2018-06-15 |
| 1477060499 | Shilpy Kanda | Physician Assistant | 2250 S Main St Ste 107, Corona, CA 92882 | 2017-12-29 |
| 1831616333 | Cindy Ruiz | Behavioral Analyst | 2868 Briarhaven Ln, Corona, CA 92882 | 2017-08-24 |
| 1366965667 | 3 Vest Medical Transportation Wc LLC | Non-emergency Medical Transport (VAN) | 3256 Rural Lane, Corona, CA 92882 | 2017-07-19 |
| 1477073468 | Adrian Macias I | Counselor | 2275 South Main Street Suite 201 Corona, Ca 92882, Corona, CA 92882 | 2017-06-21 |
| 1699205286 | Sylvia Barrow | Counselor | 2275 South Main Street Suite 201, Corona, CA 92882 | 2017-06-15 |
| 1417348574 | Pensar Medical | Durable Medical Equipment & Medical Supplies | 1269 Pomona Rd Ste 107, Corona, CA 92882 | 2015-02-11 |
| 1215327085 | Anne Maureen Sims | Social Worker | 2275 South Main, #201, Corona, CA 92882 | 2015-01-30 |
| Find all providers in zip 92882 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770863953 | Hispaniola Pediatrics PC | Pediatrics | 4048 Junction Blvd, First Floor, Corona, NY 11368-2206 | 2011-08-19 |
| 1396912887 | Ingrid Williams | Pediatrics | 3758 108th St, Corona, NY 11368-2023 | 2008-05-13 |
| 1427233667 | Abc Medical Group, Inc,, Apc | Pediatrics | 650 E Parkridge Ave, Suitte 114 & 115, Corona, CA 92879-1091 | 2008-01-07 |
| 1770799215 | Maria Quezada | Pediatrics | 102 11 Roosevelt Ave., Corona, NY 11368-2331 | 2007-05-14 |
| 1285850974 | Elena B Jackson | Pediatrics | 770 Magnolia Ave Suite 2a, Corona, CA 92879-3122 | 2007-04-18 |
| 1275657793 | Mario Saint Laurent | Pediatrics | 3765 104th St, Corona, NY 11368-1947 | 2007-03-19 |
| 1649337858 | Hector Bienvenido Florimon De La Rosa | Pediatrics | 102-11 Roosevelt Ave, Corona, NY 11368 | 2007-01-03 |
| 1821160821 | Tannaz Ghassemi Hild | Pediatrics | 3971 Ashwood Cir, Corona, CA 92881-8820 | 2006-11-14 |
| 1114011780 | Ganesh Karim Md | Pediatrics | 97-30 57th Ave., Suite 1k, Corona, NY 11368 | 2006-10-03 |
| 1417040361 | Yvonne Ramona D'sylva | Pediatrics | 770 Magnolia Ave Ste 2a, Corona, CA 92879-3122 | 2006-10-02 |
| Find all providers in CORONA | ||||
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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.