Anthony Thong Phan MD Inc
NPI 1730139353ActiveOrganization· Internal Medicine, Geriatric Medicine· Simi Valley, CA
Internal Medicine, Geriatric Medicine in Simi Valley, California, registered in NPPES in May 2006. The authorized official on file is Anthony Thong Phan, M.D., President Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1730139353 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 12, 2006 |
| Last updated in NPPES | Aug 21, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Geriatric Medicine Primary | 207RG0300X | G83470 | CA |
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) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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