Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063996916 Individual Practitioner Female Practitioner

Mindy Thanh Phan , PA-C

Physician Assistant • Tustin, CA

Professional Overview & Biography Verified Profile Summary

Mindy Phan, PA-C is a registered healthcare professional specializing in Physician Assistant in Tustin, CA. Practice services are available at 661 W 1ST ST STE G under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

661 W 1st St Ste G

Tustin, CA 927802939

Telephone 7146659890
Fax 7146659891
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Tustin, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.7 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
53 Specialists

Practicing in Tustin, CA (14617 Statewide)

Telehealth Adoption Rate
11.3% 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: 2025-10-22
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA PA56216

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

9918 Katella Ave Ste A-C

Anaheim, CA 928046465

Phone: 7146449494

11180 Warner Ave Ste 353

Fountain Valley, CA 927087516

Phone: 7149686789

Practice Associates & Co-Workers

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

40 Associated Practitioners
Nicole Noche , NP

Nurse Practitioner - Women's Health

NPI 1003400524

Nurse Practitioner

Crystal Martin , PA

Physician Assistant

NPI 1003577768

Physician Assistant

Eileen Gomez , NP

Nurse Practitioner - Family

NPI 1013704568

Nurse Practitioner

Dr. Robert Borrowdale , MD

Obstetrics & Gynecology

NPI 1013958545

Doctor of Medicine (M.D.)

Carlos Guerrero , PA-C

Physician Assistant

NPI 1023026523

Physician Assistant (Certified)

Leslie Espinoza , LCSW

Social Worker - Clinical

NPI 1023485299

Licensed Clinical Social Worker

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Business Mailing Address October 22, 2025

Registered at 661 W 1ST ST STE G, TUSTIN, CA 927802939 (Tel: 7146659890)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2025

Physician Assistant (License #PA56216 in CA)

📍
Updated Practice Location July 12, 2023

Registered at 661 W 1ST ST STE G, TUSTIN, CA 927802939 (Tel: 7146659890)

NPI Profile Active September 17, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location September 17, 2018

Registered at 12302 GARDEN GROVE BLVD STE 7, GARDEN GROVE, CA 928431833 (Tel: 7145374343)

📍
Updated Business Mailing Address September 17, 2018

Registered at 9421 JENNRICH AVE, WESTMINSTER, CA 926835112

👤
Provider Name / Credentials Updated September 17, 2018

Recorded as MINDY PHAN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2018

Physician Assistant

🟢
Initial NPI Registration & Enumeration September 17, 2018

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: 1063996916
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 17, 2018
Last Update: October 22, 2025
Sole Proprietor: Yes

Mailing Address

661 W 1st St Ste G

Tustin, CA 927802939

Phone: 7146659890

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.