DUKE A PHAN MD NEUROLOGY INC (NPI# 1982698767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982698767 |
| Entity Type | Organization |
| Organization Name | DUKE A PHAN MD NEUROLOGY INC |
| Practice Address |
17220 Newhope St Suite 217 Fountain Valley CA 92708-4272 |
| Practice Telephone | 7145464367 |
| Practice Fax Number | 7145464361 |
| Mailing Telephone | 7145464367 |
| Mailing Fax Number | 7145464361 |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2020-02-28 |
| Authorized Official Name | CORINA SEGOVIA DIAZ (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 7143341215 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
A51193 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A511930 | 05 | |
| CA | BLUE SHIELD | 00A511930 | 01 |
| DEA | BP3430977 | 01 |
| Street Address |
17220 NEWHOPE ST SUITE 217 |
| City | FOUNTAIN VALLEY |
| State | CA |
| Zip Code | 92708-4272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639669963 | Betty Marin | Registered Nurse | 17220 Newhope St, Fountain Valley, CA 92708-4272 | 2018-05-11 |
| 1871902239 | Kelly Lin | Marriage & Family Therapist | 17220 Newhope St, #205, Fountain Valley, CA 92708-4272 | 2014-08-10 |
| 1295165686 | Cindy Majdecki | Acupuncturist | 17220 Newhope St, Suite 123, Fountain Valley, CA 92708-4272 | 2013-11-20 |
| 1043590250 | Kaitlyn Phuong Nguyen | Physician Assistant | 17220 Newhope St, #125, Fountain Valley, CA 92708-4272 | 2011-08-18 |
| 1932403441 | Acessmd Medical Group, Inc | Internal Medicine | 17220 Newhope St, #125, Fountain Valley, CA 92708-4272 | 2010-12-28 |
| 1396055414 | Advanced Healthcare Associates, Inc | Internal Medicine | 17220 Newhope St, 125, Fountain Valley, CA 92708-4272 | 2010-10-08 |
| 1073843660 | Andrew Chun Kim | Dentist | 17220 Newhope St, Suite 201, Fountain Valley, CA 92708-4272 | 2010-01-05 |
| 1346579141 | Kim & Kim Dds Dental Corporation | Dentist | 17220 Newhope St, Suite 201, Fountain Valley, CA 92708-4272 | 2009-12-08 |
| 1437352630 | Duke An Michael Phan | Psychiatry & Neurology | 17220 Newhope St, Suite 217, Fountain Valley, CA 92708-4272 | 2007-06-06 |
| 1801019443 | Philip Matthew Nisco | Dentist | 17220 Newhope St, Ste 227, Fountain Valley, CA 92708-4272 | 2007-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932716222 | Changing Directions Psychological Corporation | Psychologist | 17280 Newhope Street, Suite 4, Fountain Valley, CA 92708 | 2020-09-30 |
| 1124632757 | Neck & Back Pain Specialists, A Balta Chiropractic Corporation | Chiropractor | 10231 Slater Ave. #113, Fountain Valley, CA 92708 | 2020-09-01 |
| 1295205425 | Alexander Nee Dds Inc | Dentist | 337 S Rancho Santa Fe Rd, San Marcos, CA 92708 | 2018-11-30 |
| 1093293052 | Claudia Raquel Santos | Physical Therapist | 18384 Brookhurst Street, Fountain Valley, CA 92708 | 2018-08-01 |
| 1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
| 1992297881 | Ereny Abdelmalak Metry | Pharmacist | 9064 Daffodil Ave, Fountain Valley, CA 92708 | 2018-06-06 |
| 1144746348 | Goose Pharma, LLC | Pharmacy | 18049 Magnolia Street, Fountain Valley, CA 92708 | 2017-08-18 |
| 1932622347 | Mayra Alejandra Guerra | Social Worker | 18350 Mt Langley St, Suite 200, Fountain Valley, CA 92708 | 2017-07-18 |
| 1942722129 | Graph Surgery Inc | Plastic Surgery | 10760 Warner Ave, Ste 201, Fountain Valley, CA 92708 | 2017-07-10 |
| 1871022277 | Cathy A Castagna-petersen | Counselor | 10529 Slater Avenue, Fountain Valley, CA 92708 | 2017-06-08 |
| Find all providers in zip 92708 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750792545 | Frank Xing | Psychiatry & Neurology | 9940 Talbert Ave Ste 100, Fountain Valley, CA 92708-5153 | 2014-05-14 |
| 1881627313 | Parkinsons Movement & Disorder Medical Group Inc | Psychiatry & Neurology | 9940 Talbert Ave Ste 204, Fountain Valley, CA 92708-5153 | 2006-07-08 |
| 1639617558 | Tim T. Lai, Md, Inc. | Psychiatry & Neurology | 11100 Warner Ave, Suite 152, Fountain Valley, CA 92708-7506 | 2017-02-11 |
| 1952643512 | Truong Neuroscience Institute Inc. | Psychiatry & Neurology | 9940 Talbert Ave, Suite 204, Fountain Valley, CA 92708-5153 | 2013-03-21 |
| 1295094324 | Tim Tien Lai | Psychiatry & Neurology | 11100 Warner Ave, Ste 152, Fountain Valley, CA 92708-7510 | 2012-05-09 |
| 1023329125 | Kong Truong | Psychiatry & Neurology | 9940 Talbert Ave, Suite 204, Fountain Valley, CA 92708-5153 | 2010-06-24 |
| 1508186701 | Christina My-chi Nguyen | Psychiatry & Neurology | 9940 Talbert Ave Ste 204, Fountain Valley, CA 92708-5153 | 2010-06-10 |
| 1508012139 | Mindy Kaye Bixby | Psychiatry & Neurology | 9940 Talbert Avenue, Suite 204, Fountain Valley, CA 92708 | 2008-08-14 |
| 1437352630 | Duke An Michael Phan | Psychiatry & Neurology | 17220 Newhope St, Suite 217, Fountain Valley, CA 92708-4272 | 2007-06-06 |
| 1992720916 | Daniel Dung Truong | Psychiatry & Neurology | 9940 Talbert Ave Ste 204, Fountain Valley, CA 92708-5153 | 2006-07-12 |
| Find all providers in FOUNTAIN VALLEY | ||||
| City | FOUNTAIN VALLEY |
| Zip Code | 92708 |
Please comment or provide details below to improve the information on DUKE A PHAN MD NEUROLOGY INC.
| 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.