IndividualActive
Peter Phan, DMD
NPI 1558496174 · General Practice Dentistry · Gardena, CA
Peter Phan, DMD is a General Practice Dentistry provider in Gardena, CA (NPI 1558496174).
Provider details
- NPI number
- 1558496174
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 54722 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
16229 S Western Ave Ste 2
Gardena, CA 90247
Phone: (408) 256-3435
Street-level locationGet directions
Mailing address
16229 S Western Ave Ste 2
Gardena, CA 90247-4660
Registry dates
- Enumerated
- 2007-02-22
- Last updated
- 2023-03-07
Frequently asked questions
- What is Peter Phan's NPI number?
- Peter Phan's National Provider Identifier (NPI) is 1558496174, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Peter Phan's specialty?
- Peter Phan is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Peter Phan located?
- Peter Phan's practice location on file with NPPES is 16229 S Western Ave Ste 2, Gardena, CA 90247.
- What is Peter Phan's phone number?
- The practice phone number listed in the NPPES registry for Peter Phan is (408) 256-3435.
- Is Peter Phan's NPI active?
- Yes — Peter Phan's NPI (1558496174) is active in the NPPES registry as of the last update on 2023-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.