IndividualActive
Theodore Phan
NPI 1154783736 · Clinical Social Worker · Orange, CA
Theodore Phan is a Clinical Social Worker provider in Orange, CA (NPI 1154783736).
Provider details
- NPI number
- 1154783736
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 95767 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
4000 W Metropolitan Dr
Orange, CA 92868-3504
Phone: (866) 830-6011
Street-level locationGet directions
Mailing address
6100 Chip Ave
Cypress, CA 90630-5212
Registry dates
- Enumerated
- 2016-03-23
- Last updated
- 2021-01-06
- Certified
- 2021-01-06
Frequently asked questions
- What is Theodore Phan's NPI number?
- Theodore Phan's National Provider Identifier (NPI) is 1154783736, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodore Phan's specialty?
- Theodore Phan is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Theodore Phan located?
- Theodore Phan's practice location on file with NPPES is 4000 W Metropolitan Dr, Orange, CA 92868-3504.
- What is Theodore Phan's phone number?
- The practice phone number listed in the NPPES registry for Theodore Phan is (866) 830-6011.
- Is Theodore Phan's NPI active?
- Yes — Theodore Phan's NPI (1154783736) is active in the NPPES registry as of the last update on 2021-01-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.