Provider Type Icon

KEVIN HT PHAN MD NPI 1033539150


NPI Information

NPI: 1033539150
Provider Name: KEVIN HT PHAN, MD
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Individual
Organization: ORTHOPAEDIC ASSOCIATES OF GRAND RAPIDS PC

PECOS Registration: Yes

Address:
8805 HAVEN AVE STE 200
RANCHO CUCAMONGA, CA
ZIP 91730
Phone: (909) 912-1750
Get Directions

Kevin Ht Phan, MD is an orthopaedic surgery in Rancho Cucamonga, CA with 10 years of experience. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. Kevin Ht Phan, MD NPI is 1033539150. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduation Year:2014

The provider's business location address is:

8805 HAVEN AVE STE 200
RANCHO CUCAMONGA, CA
ZIP 91730-157
Phone: (909) 912-1750
Fax: (909) 989-4477

The NPI 1033539150 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/17/2014 and was last updated on 6/6/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic Surgery4301501266MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.