Quy-Phung Phan, D.D.S
NPI 1164662789 · Dentist · Walnut, CA
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Quy-Phung Phan, D.D.S is a Dentist provider in Walnut, CA (NPI 1164662789).
Provider details
- NPI number
- 1164662789
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.D.S
- Sex
- Female
- Sole proprietor
- Yes
- License
- 50090 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
- 2009-02-22
- Last updated
- 2009-02-22
Frequently asked questions
- What is Quy-Phung Phan's NPI number?
- Quy-Phung Phan's National Provider Identifier (NPI) is 1164662789, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Quy-Phung Phan's specialty?
- Quy-Phung Phan is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Quy-Phung Phan located?
- Quy-Phung Phan's practice location on file with NPPES is 628 Running Deer Rd, Walnut, CA 91789-4299.
- What is Quy-Phung Phan's phone number?
- The practice phone number listed in the NPPES registry for Quy-Phung Phan is (626) 581-8209.
- Does Quy-Phung Phan accept Medicare?
- Quy-Phung Phan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Quy-Phung Phan's NPI active?
- Yes — Quy-Phung Phan's NPI (1164662789) is active in the NPPES registry as of the last update on 2009-02-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.