Individual provider · Type 1 NPI

Mindy Thanh Phan, PA-C

Physician Assistant · Tustin, CA

NPI number 1063996916 Active

Practice location

661 W 1st St Ste G
Tustin, CA 92780-2939

Call (714) 665-9890 Map

Fax (714) 665-9891

Other practice locations

  • 11180 Warner Ave Ste 353, Fountain Valley, CA 92708-7516 · (714) 968-6789
  • 9918 Katella Ave Ste A-C, Anaheim, CA 92804-6465 · (714) 644-9494

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA56216 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1063996916

Mindy Thanh Phan, PA-C's National Provider Identifier is 1063996916, issued on Sep 17, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Tustin, CA. The record was last updated on Oct 22, 2025.