Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558496174 Individual Practitioner Male Practitioner

Dr. Peter Binh Phan , DMD

Dentist - General Practice • Gardena, CA

Professional Overview & Biography Verified Profile Summary

Dr. Peter Phan, DMD is a registered healthcare professional specializing in Dentist - General Practice in Gardena, CA. Practice services are available at 16229 S WESTERN AVE STE 2 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

16229 S Western Ave Ste 2

Gardena, CA 90247

Telephone 4082563435
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Gardena, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
34 Specialists

Practicing in Gardena, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 54722

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ca Dmd License
54722 (CA)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Estela Murillo

Dentist - General Practice

NPI 1326426040

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location July 24, 2018

Registered at 16229 S WESTERN AVE STE 2, GARDENA, CA 90247 (Tel: 4082563435)

📍
Updated Business Mailing Address July 24, 2018

Registered at 16229 S WESTERN AVE STE 2, GARDENA, CA 902474660 (Tel: 4082563435)

NPI Profile Active June 11, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location June 11, 2014

Registered at 3959 SPRING MOUNTAIN RD, LAS VEGAS, NV 891028613 (Tel: 7022207005)

📍
Updated Business Mailing Address June 11, 2014

Registered at 3959 SPRING MOUNTAIN RD, LAS VEGAS, NV 891028613 (Tel: 7022207005)

👤
Provider Name / Credentials Updated June 11, 2014

Recorded as PETER PHAN, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2014

Dentist (License #54722 in CA)

🟢
Initial NPI Registration & Enumeration February 22, 2007

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: 1558496174
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2007
Last Update: March 07, 2023
Sole Proprietor: No

Mailing Address

16229 S Western Ave Ste 2

Gardena, CA 902474660

Phone: 4082563435

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.