Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396610341 Individual Practitioner Female Practitioner

Mary Nhung Hoai Phan

Physician Assistant • Cerritos, CA

Professional Overview & Biography Verified Profile Summary

Mary Phan is a registered healthcare professional specializing in Physician Assistant in Cerritos, CA. Practice services are available at 17100 NORWALK BLVD STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

17100 Norwalk Blvd Ste 101

Cerritos, CA 907032750

Telephone 5622329420
Associated Practice Facility / Clinic
🏢 Dipti Doshi Md, Inc. Facility NPI 1386089415

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Cerritos, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.6 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
17 Specialists

Practicing in Cerritos, CA (14617 Statewide)

Telehealth Adoption Rate
5.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-12-08
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL 9120846

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Practice Locations

9801 Belvedere Rd

Royal Palm Beach, FL 334113640

Phone: 5612736500

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Michelle Bui

Physician Assistant

NPI 1194575217
Linnea Smith , PA-C

Internal Medicine - Rheumatology

NPI 1275464927

Physician Assistant (Certified)

Jocelyn Nguyen , PA

Physician Assistant

NPI 1720686983

Physician Assistant

NPI 1912914193

PHYSICIANASSISTANT

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location December 08, 2025

Registered at 17100 NORWALK BLVD STE 101, CERRITOS, CA 907032750 (Tel: 5622329420)

NPI Profile Active October 09, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location October 09, 2025

Registered at 9801 BELVEDERE RD, ROYAL PALM BEACH, FL 334113640 (Tel: 5612736500)

📍
Updated Business Mailing Address October 09, 2025

Registered at 9801 BELVEDERE RD, ROYAL PALM BEACH, FL 334113640 (Tel: 5612736500)

👤
Provider Name / Credentials Updated October 09, 2025

Recorded as MARY PHAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2025

Physician Assistant (License #9120846 in FL)

🟢
Initial NPI Registration & Enumeration October 09, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396610341
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 09, 2025
Last Update: December 08, 2025
Sole Proprietor: No

Mailing Address

9801 Belvedere Rd

Royal Palm Beach, FL 334113640

Phone: 5612736500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.