Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Phan, MSPAS

Individual provider Physician Assistant · NPI 1952810632

Andrew Phan, MSPAS is a Physician Assistant in Irvine, California. Qualified in 2017, 9 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2017
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Practice location Address checks out

12 Villanova
Irvine, CA 92606-8929
Phone: (949) 278-1980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1952810632
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPAS
Sole proprietorNo
NPI enumeratedSeptember 25, 2017
Last updated in NPPESJuly 25, 2022
Mailing address12 Villanova, Irvine, CA 92606-8929

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Irvine