DR. JOHN PHU VAN (NPI# 1801881743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801881743 |
| Entity Type | Individual |
| Full Name | DR. JOHN PHU VAN |
| Credential | D.D.S. |
| Practice Address |
12555 Garden Grove Blvd Suite 308 Garden Grove CA 92843-1902 |
| Mailing Address |
13722 Typee Way Irvine CA 92620-3272 |
| Practice Telephone | 7145341434 |
| Practice Fax Number | 7142421777 |
| Mailing Telephone | 9495004303 |
| Mailing Fax Number | 7142421777 |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2007-10-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
36333 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | B36333-02 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558641589 | John Van | Dentist | 55 E Broadway Rd, Tempe, AZ 85282-1302 | 2011-08-22 |
| 1467799411 | John Van | Pharmacist | 9846 Glades Rd, Boca Raton, FL 33434-3917 | 2013-01-10 |
| 1902177728 | John Van | Pharmacist | 3222 University Ave, San Diego, CA 92104-2010 | 2012-01-25 |
| Street Address |
12555 GARDEN GROVE BLVD SUITE 308 |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92843-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780682401 | Julie Hwynn | Internal Medicine | 12555 Garden Grove Blvd, Suite 301, Garden Grove, CA 92843-1902 | 2005-07-07 |
| 1649713777 | Socal Pharmacy Inc. | Pharmacy | 12555 Garden Grove Blvd, Suite 102, Garden Grove, CA 92843-1902 | 2016-11-21 |
| 1518332980 | Fresenius Medical Care Orange County, LLC | Clinic/Center | 12555 Garden Grove Blvd, Ste 100, Garden Grove, CA 92843-1902 | 2015-12-10 |
| 1841564143 | Hong-an Jan Md Inc | Clinic/Center | 12555 Garden Grove Blvd, #202, Garden Grove, CA 92843-1902 | 2012-03-05 |
| 1912203860 | Melissa K King Md Inc | Internal Medicine | 12555 Garden Grove Blvd, Suite 405, Garden Grove, CA 92843-1902 | 2011-02-09 |
| 1073819710 | Puneet K Chahal, M.d. Inc | Internal Medicine | 12555 Garden Grove Blvd, #405, Garden Grove, CA 92843-1902 | 2011-01-27 |
| 1346546082 | Tuan V Ta Md Inc | Internal Medicine | 12555 Garden Grove Blvd, #405, Garden Grove, CA 92843-1902 | 2011-01-27 |
| 1821306838 | T.r.rhee,m.d.inc | Specialist | 12555 Garden Grove Blvd, Suite 408, Garden Grove, CA 92843-1902 | 2010-09-24 |
| 1053579136 | Andrew H Ahn Md Professional Corporation | Surgery | 12555 Garden Grove Blvd, Suite 403, Garden Grove, CA 92843-1903 | 2008-05-27 |
| 1821256090 | Advanced Center for Urology Inc | Urology | 12555 Garden Grove Blvd, Ste. 405, Garden Grove, CA 92843-1902 | 2008-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346759024 | Elite Wellness Chiropractic Center | Clinic/Center | 13125 Brookhurst St, Garden Grove, CA 92843 | 2017-09-25 |
| 1407375520 | Leontina Balos | Assisted Living Facility | 10452 Mildred Avenue, Garden Grove, CA 92843 | 2017-09-11 |
| 1548788235 | Lanson Tt Corp | Pharmacy | 14211 Euclid St Ste A, Garden Grove, CA 92843 | 2017-09-01 |
| 1598285512 | Ernest Youngchan Rhee | Acupuncturist | 12555 Garden Grove Blvd., Ste 505, Garden Grove, CA 92843 | 2017-06-21 |
| 1336681253 | Shane Hiromu Koga | Chiropractor | 13311 Garden Grove Blvd Suite B, Garden Grove, CA 92843 | 2016-11-09 |
| 1023461456 | Kelly Chau Quach | Counselor | 14411 Brookhurst St Ste D & E, Garden Grove, CA 92843 | 2016-07-21 |
| 1922484385 | Terry Chang | Counselor | 12800 Garden Grove Blvd. Ste. F, Garden Grove, CA 92843 | 2015-08-07 |
| 1942687132 | Sara Smith | Counselor | 11277 Garden Grove Blvd., Suite 100, Garden Grove, CA 92843 | 2015-04-27 |
| 1063848232 | Nexgen Chiropractic Inc | Chiropractor | 12832 Garden Grove Blvd A, Garden Grove, CA 92843 | 2013-09-19 |
| 1023369824 | American Medical Diagnostic Lab Inc. | Clinical Medical Laboratory | 12665 Garden Grove Blvd #111, Garden Grove, CA 92843 | 2012-09-20 |
| Find all providers in zip 92843 | ||||
| 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 |
|---|---|---|---|---|
| 1861010845 | Kideog Park | Dentist | 9618 Garden Grove Blvd Ste 208, Garden Grove, CA 92844-1566 | 2020-07-07 |
| 1053965707 | Elaine Khue Thai | Dentist | 14411 Brookhurst St Ste B, Garden Grove, CA 92843-4667 | 2019-07-31 |
| 1477918811 | S.s. Kim, D.d.s., Inc. | Dentist | 9800 Garden Grove Blvd, Garden Grove, CA 92844-1617 | 2015-12-30 |
| 1538534441 | Loc Q. Nguyen, Dmd, Inc | Dentist | 8342 Garden Grove Blvd Ste 1, Garden Grove, CA 92844-1151 | 2015-12-03 |
| 1932577665 | Bui Dental Corporation | Dentist | 10042 Lampson Ave Ste 101, Garden Grove, CA 92840-4703 | 2015-09-11 |
| 1568894186 | Hai Au Minh Doan | Dentist | 12651 Trask Ave, Garden Grove, CA 92843-3043 | 2013-08-06 |
| 1285987123 | Christine Thanh Mai Nguyen | Dentist | 10682 Sennit Ave, Garden Grove, CA 92843-5336 | 2012-10-16 |
| 1982904355 | Diaz Aguda and Dumulo General Partnership | Dentist | 13212 Harbor Blvd, Garden Grove, CA 92843-1737 | 2010-11-01 |
| 1326351966 | Ukjae Jung | Dentist | 10130 Garden Grove Blvd, 201, Garden Grove, CA 92844-1689 | 2010-07-25 |
| 1952546228 | Young Kiu Lim | Dentist | 8754 Garden Grove Blvd, Garden Grove, CA 92844-1251 | 2008-12-15 |
| Find all providers in GARDEN GROVE | ||||
| City | GARDEN GROVE |
| Zip Code | 92843 |
Please comment or provide details below to improve the information on DR. JOHN PHU VAN.
| 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.