Mesa Advantage Medical Group
NPI 1578017778 · Exclusive Provider Organization · San Marino, CA
Mesa Advantage Medical Group is a Exclusive Provider Organization organization in San Marino, CA (NPI 1578017778).
Provider details
- NPI number
- 1578017778
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Lan Phan, Ceo(818) 399-8996
- License
- A (CA)
Specialties & taxonomies
Managed Care Organizations
Managed Care Organizations
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
- 2016-08-05
- Last updated
- 2022-07-21
Frequently asked questions
- What is Mesa Advantage Medical Group's NPI number?
- Mesa Advantage Medical Group's National Provider Identifier (NPI) is 1578017778, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mesa Advantage Medical Group?
- Mesa Advantage Medical Group is classified in the NPPES registry as Exclusive Provider Organization (Managed Care Organizations).
- Where is Mesa Advantage Medical Group located?
- Mesa Advantage Medical Group's practice location on file with NPPES is 2295 Huntington Dr # D, San Marino, CA 91108-2640.
- What is Mesa Advantage Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Mesa Advantage Medical Group is (626) 656-2370.
- Who is the authorized official for Mesa Advantage Medical Group?
- The authorized official listed on Mesa Advantage Medical Group's NPPES record is Lan Phan, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mesa Advantage Medical Group's NPI active?
- Yes — Mesa Advantage Medical Group's NPI (1578017778) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.