Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265050546 Individual Practitioner Female Practitioner

Anh Phan

Physician Assistant • Pomona, CA

Professional Overview & Biography Verified Profile Summary

Anh Phan is a registered healthcare professional specializing in Physician Assistant in Pomona, CA. Practice services are available at 1196 N PARK AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1196 N Park Ave

Pomona, CA 917683027

Telephone 9096234050
Associated Practice Facility / Clinic
🏢 Mallu Reddy, M.d. Inc. Facility NPI 1184821340

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Pomona, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.1 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
186 Specialists

Practicing in Pomona, CA (14617 Statewide)

Telehealth Adoption Rate
8.6% 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: 2021-12-28
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA 60377

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.

Practice Associates & Co-Workers

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

6 Associated Practitioners
Erica Rodriguez , FNP-C

Nurse Practitioner - Family

NPI 1194449439

Family Nurse Practitioner (Certified)

Ni Hua Chou , FNP

Nurse Practitioner - Family

NPI 1366851339

Family Nurse Practitioner

Zoila Ramirez

Community Health Worker

NPI 1598594897
Christian Custodio , FNP

Nurse Practitioner - Primary Care

NPI 1811502404

Family Nurse Practitioner

Monica Esquivel

Community Health Worker

NPI 1932961299
Dr. Mallu Reddy , MD

Internal Medicine

NPI 1942278221

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location December 30, 2021

Registered at 1196 N PARK AVE, POMONA, CA 917683027 (Tel: 9096234050)

📍
Updated Business Mailing Address December 01, 2021

Registered at 4737 BANDERA ST, MONTCLAIR, CA 917634392 (Tel: 9096676608)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2021

Physician Assistant (License #60377 in CA)

NPI Profile Active July 13, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 13, 2020

Registered at 9501 EUCLID AVE, CLEVELAND, OH 441064711 (Tel: 2163680575)

📍
Updated Business Mailing Address July 13, 2020

Registered at 9501 EUCLID AVE, CLEVELAND, OH 441064711 (Tel: 2163680575)

👤
Provider Name / Credentials Updated July 13, 2020

Recorded as ANH PHAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 13, 2020

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: 1265050546
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2020
Last Update: December 30, 2021
Sole Proprietor: No

Mailing Address

4737 Bandera St

Montclair, CA 917634392

Phone: 9096676608

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.