Derek Q Phan, MD
Derek Q Phan, MD is an Internal Medicine in Temescal Valley, California. Qualified in 2014, 12 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in California, Kansas, Washington and Wisconsin.
- Years since qualifying
- 12
- Licensed in
- CA, KS, WA, WI
- In the registry since
- 2014
- Specialties on file
- 8
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
21634 Retreat PkwyTemescal Valley, CA 92883-6100
Phone: (951) 493-6650
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (3)
- 800 S Main St, Corona, CA 92882-3420 — (213) 569-1450
- 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 — (237) 834-0113
- 1818 N Meade St, Appleton, WI 54911-3454 — (920) 731-8900
Specialties & licences
| Cardiovascular Disease Physician (primary) | Taxonomy 207RC0000X · Licence 100522 (WI) |
|---|---|
| Internal Medicine Physician | Taxonomy 207R00000X · Licence MD61123756 (WA) |
| Cardiovascular Disease Physician | Taxonomy 207RC0000X · Licence 0447579 (KS) |
| Cardiovascular Disease Physician | Taxonomy 207RC0000X · Licence A138554 (CA) |
| Interventional Cardiology Physician | Taxonomy 207RI0011X · Licence 100522 (WI) |
| Interventional Cardiology Physician | Taxonomy 207RI0011X · Licence MD61123756 (WA) |
| Interventional Cardiology Physician | Taxonomy 207RI0011X · Licence 0447579 (KS) |
| Interventional Cardiology Physician | Taxonomy 207RI0011X · Licence A138554 (CA) |
Record details
| NPI number | 1598184244 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | April 9, 2014 |
| Last updated in NPPES | July 31, 2023 |
| Certification date | July 31, 2023 |
Medicare enrollment
| Medicare specialty | INTERNAL MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 2014 (12 years in practice) |
| Group practice | Southern California Permanente Medical Group — 11242 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |