IndividualActive
Mary Phan
NPI 1396610341 · Physician Assistant · Cerritos, CA
Mary Phan is a Physician Assistant provider in Cerritos, CA (NPI 1396610341).
Provider details
- NPI number
- 1396610341
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 9120846 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
17100 Norwalk Blvd Ste 101
Cerritos, CA 90703-2750
Phone: (562) 232-9420
Street-level locationGet directions
Mailing address
9801 Belvedere Rd
Royal Palm Beach, FL 33411-3640
Additional practice locations (1)
- 9801 Belvedere RdRoyal Palm Beach, FL 33411-3640Phone: (561) 273-6500
Registry dates
- Enumerated
- 2025-10-09
- Last updated
- 2025-12-08
- Certified
- 2025-12-08
Frequently asked questions
- What is Mary Phan's NPI number?
- Mary Phan's National Provider Identifier (NPI) is 1396610341, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Phan's specialty?
- Mary Phan is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mary Phan located?
- Mary Phan's practice location on file with NPPES is 17100 Norwalk Blvd Ste 101, Cerritos, CA 90703-2750.
- What is Mary Phan's phone number?
- The practice phone number listed in the NPPES registry for Mary Phan is (562) 232-9420.
- Is Mary Phan's NPI active?
- Yes — Mary Phan's NPI (1396610341) is active in the NPPES registry as of the last update on 2025-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.