Amanda Quynh Phan
NPI 1629773288ActiveIndividual· Pediatrics· Porter Ranch, CA
Pediatrics in Porter Ranch, California, licensed in CA and GU, with an NPI issued in April 2023.
Overview
| NPI | 1629773288 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 3, 2023 |
| Last updated in NPPES | Oct 23, 2026 |
| Certified by provider | Oct 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | 20A24933 | CA |
| Pediatrics | 208000000X | TLL-2026-004 | GU |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other pediatricians in Porter Ranch
- 1326282328
- 1346303674
- 1508058108
- 1841518990
- 1447539127
- 1205299302
- 1972730364