Kimmy Phan
NPI 1043843816 · Occupational Therapist · Garden Grove, CA
Enrolled with Medicare as Practitioner - Occupational Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kimmy Phan is a Occupational Therapist provider in Garden Grove, CA (NPI 1043843816).
Provider details
- NPI number
- 1043843816
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 19050 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-02-19
- Last updated
- 2021-11-01
- Certified
- 2021-11-01
Frequently asked questions
- What is Kimmy Phan's NPI number?
- Kimmy Phan's National Provider Identifier (NPI) is 1043843816, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimmy Phan's specialty?
- Kimmy Phan is listed in the NPPES registry with a primary specialty of Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kimmy Phan located?
- Kimmy Phan's practice location on file with NPPES is 11911 West St, Garden Grove, CA 92840-2552.
- What is Kimmy Phan's phone number?
- The practice phone number listed in the NPPES registry for Kimmy Phan is (714) 467-9816.
- Does Kimmy Phan accept Medicare?
- Kimmy Phan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kimmy Phan's NPI active?
- Yes — Kimmy Phan's NPI (1043843816) is active in the NPPES registry as of the last update on 2021-11-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.