Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780494344 Individual Practitioner Male Practitioner

Kimlong Nguyen Phan

Physician Assistant • Pomona, CA

Professional Overview & Biography Verified Profile Summary

Kimlong Phan is a registered healthcare professional specializing in Physician Assistant in Pomona, CA. Practice services are available at 1798 N GAREY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1798 N Garey Ave

Pomona, CA 917672918

Telephone 9098659500
Associated Practice Facility / Clinic

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: 2025-03-01
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA 66053

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1013589605

Doctor of Pharmacy (Pharm.D.)

Victoria Chidboy , RN

Registered Nurse - Critical Care Medicine

NPI 1023534104

Registered Nurse

Mckenna Schindler , PA

Physician Assistant

NPI 1043022734

Physician Assistant

Dr. Hrayr Kabakian , MD

Radiology - Diagnostic Radiology

NPI 1053393017

Doctor of Medicine (M.D.)

Dr. Ashley Tse , DPT

Physical Medicine & Rehabilitation

NPI 1083479109

Doctor of Physical Therapy

Tuan Huynh , PA-C

Physician Assistant - Medical

NPI 1093176307

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 07, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location January 07, 2025

Registered at 1798 N GAREY AVE, POMONA, CA 917672918 (Tel: 9098659500)

📍
Updated Business Mailing Address January 07, 2025

Registered at 1086 S THOMAS ST, POMONA, CA 917663236 (Tel: 9095246996)

👤
Provider Name / Credentials Updated January 07, 2025

Recorded as KIMLONG PHAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2025

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration January 07, 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: 1780494344
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 07, 2025
Last Update: March 01, 2025
Sole Proprietor: No

Mailing Address

1086 S Thomas St

Pomona, CA 917663236

Phone: 9095246996

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.