Cong T. Phan M.d., Inc. - Medicare Primary Care in Rancho Cucamonga, CA

Cong T. Phan M.d., Inc. is a medicare enrolled primary clinic (Internal Medicine) in Rancho Cucamonga, California. The current practice location for Cong T. Phan M.d., Inc. is 9333 Baseline Rd, Ste. 150, Rancho Cucamonga, California. For appointments, you can reach them via phone at (909) 941-4777. The mailing address for Cong T. Phan M.d., Inc. is 9303 Jasmine Ave, Fountain Valley, California and phone number is (909) 941-4777.

Cong T. Phan M.d., Inc. is licensed to practice in California (license number ). The clinic also participates in the medicare program and its NPI number is 1114354396. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (909) 941-4777.

Contact Information

Cong T. Phan M.d., Inc.
9333 Baseline Rd
Ste. 150
Rancho Cucamonga
CA 91730-1350
(909) 941-4777
Not Available

Primary Care Clinic Profile

Full NameCong T. Phan M.d., Inc.
SpecialityInternal Medicine
Location9333 Baseline Rd, Rancho Cucamonga, California
Authorized Official Name and PositionCong T. Phan (PRESIDENT)
Authorized Official Contact9099414777
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Cong T. Phan M.d., Inc.
9303 Jasmine Ave
Fountain Valley
CA 92708-1960

Ph: (909) 941-4777
Cong T. Phan M.d., Inc.
9333 Baseline Rd
Ste. 150
Rancho Cucamonga
CA 91730-1350

Ph: (909) 941-4777

NPI Details:

NPI Number1114354396
Provider Enumeration Date10/02/2013
Last Update Date10/02/2013

Medicare PECOS Information:

Medicare PECOS PAC ID8426031139
Medicare Enrollment IDO20040611000933

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Medical Identifiers

Medical identifiers for Cong T. Phan M.d., Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114354396NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Cong T. Phan M.d., Inc. acts as a billing entity for following providers:
Provider NameCong T Phan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1386778033
PECOS PAC ID: 1759364466
Enrollment ID: I20040720000815

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