Van Phan, PA-C
NPI 1912040049 · Surgical Physician Assistant · Lakewood, WA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Van Phan, PA-C is a Surgical Physician Assistant provider in Lakewood, WA (NPI 1912040049).
Provider details
- NPI number
- 1912040049
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA10004199 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
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
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
Mailing address
Additional practice locations (1)
- 4011 Talbot Rd SSuite 300Renton, WA 98055-5773Phone: (425) 656-5060Fax: (425) 656-5047
Registry dates
- Enumerated
- 2007-02-15
- Last updated
- 2021-01-20
- Certified
- 2021-01-20
Frequently asked questions
- What is Van Phan's NPI number?
- Van Phan's National Provider Identifier (NPI) is 1912040049, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Van Phan's specialty?
- Van Phan is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Van Phan located?
- Van Phan's practice location on file with NPPES is 11311 Bridgeport Way Sw Ste 100, Lakewood, WA 98499-3096.
- What is Van Phan's phone number?
- The practice phone number listed in the NPPES registry for Van Phan is (253) 985-6490.
- Does Van Phan accept Medicare?
- Van Phan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Van Phan's NPI active?
- Yes — Van Phan's NPI (1912040049) is active in the NPPES registry as of the last update on 2021-01-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.