Kimlong Phan
NPI 1780494344 · Physician Assistant · Pomona, CA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kimlong Phan is a Physician Assistant provider in Pomona, CA (NPI 1780494344).
Provider details
- NPI number
- 1780494344
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
Mailing address
Registry dates
- Enumerated
- 2025-01-07
- Last updated
- 2025-03-01
- Certified
- 2025-03-01
Frequently asked questions
- What is Kimlong Phan's NPI number?
- Kimlong Phan's National Provider Identifier (NPI) is 1780494344, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimlong Phan's specialty?
- Kimlong Phan is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kimlong Phan located?
- Kimlong Phan's practice location on file with NPPES is 1798 N Garey Ave, Pomona, CA 91767-2918.
- What is Kimlong Phan's phone number?
- The practice phone number listed in the NPPES registry for Kimlong Phan is (909) 865-9500.
- Does Kimlong Phan accept Medicare?
- Kimlong Phan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kimlong Phan's NPI active?
- Yes — Kimlong Phan's NPI (1780494344) is active in the NPPES registry as of the last update on 2025-03-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.