IndividualActive
Justin Phan
NPI 1700317229 · Pharmacist · Fountain Valley, CA
Justin Phan is a Pharmacist provider in Fountain Valley, CA (NPI 1700317229).
Provider details
- NPI number
- 1700317229
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 55461 (CA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(70/100 index)
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
10925 Goldeneye Ave
Fountain Valley, CA 92708-6012
Phone: (714) 487-9265
Street-level locationGet directions
Mailing address
10925 Goldeneye Ave
Fountain Valley, CA 92708-6012
Registry dates
- Enumerated
- 2017-03-26
- Last updated
- 2017-03-26
Frequently asked questions
- What is Justin Phan's NPI number?
- Justin Phan's National Provider Identifier (NPI) is 1700317229, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Justin Phan's specialty?
- Justin Phan is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Justin Phan located?
- Justin Phan's practice location on file with NPPES is 10925 Goldeneye Ave, Fountain Valley, CA 92708-6012.
- What is Justin Phan's phone number?
- The practice phone number listed in the NPPES registry for Justin Phan is (714) 487-9265.
- Is Justin Phan's NPI active?
- Yes — Justin Phan's NPI (1700317229) is active in the NPPES registry as of the last update on 2017-03-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.