Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Anthony Thong Phan, MD

Individual provider Internal Medicine Physician · NPI 1124207006

Dr. Anthony Thong Phan, MD is an Internal Medicine in Simi Valley, California. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 1993, 33 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
33
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1189 Swallow Ln Ste 110
Simi Valley, CA 93065-3157
Phone: (805) 526-3213
Fax: (805) 583-5929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence G83470 (CA)

Record details

NPI number1124207006
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 29, 2007
Last updated in NPPESAugust 21, 2019
Mailing address1189 Swallow Ln Ste 110, Simi Valley, CA 93065-3157

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesGERIATRIC MEDICINE
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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