IndividualActive
Kevin Phan
NPI 1336924695 · Behavior Technician · Garden Grove, CA
Kevin Phan is a Behavior Technician provider in Garden Grove, CA (NPI 1336924695).
Provider details
- NPI number
- 1336924695
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(51/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% 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
12465 Lewis St Ste 102
Garden Grove, CA 92840-4658
Phone: (855) 223-7123
Fax: (619) 374-7134
Street-level locationGet directions
Mailing address
Po Box 33568
San Diego, CA 92163-3568
Registry dates
- Enumerated
- 2023-08-25
- Last updated
- 2023-08-25
- Certified
- 2023-08-25
Frequently asked questions
- What is Kevin Phan's NPI number?
- Kevin Phan's National Provider Identifier (NPI) is 1336924695, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Phan's specialty?
- Kevin Phan is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Kevin Phan located?
- Kevin Phan's practice location on file with NPPES is 12465 Lewis St Ste 102, Garden Grove, CA 92840-4658.
- What is Kevin Phan's phone number?
- The practice phone number listed in the NPPES registry for Kevin Phan is (855) 223-7123.
- Is Kevin Phan's NPI active?
- Yes — Kevin Phan's NPI (1336924695) is active in the NPPES registry as of the last update on 2023-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.