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

Dr. Cong Thanh Phan, MD

Individual provider Specialist · NPI 1386778033

Dr. Cong Thanh Phan, MD is an Internal Medicine in Rancho Cucamonga, California. Graduated from Albany Medical College of Union University in 2000, 26 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
26
Trained at
Albany Medical College of Union University
Licensed in
CA
In the registry since
2007
Specialties on file
2
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

8235 Rochester Ave Ste 110
Rancho Cucamonga, CA 91730-0719
Phone: (909) 484-4900
Fax: (909) 781-2949
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4950 San Bernardino St Ste 107, Montclair, CA 91763-2328 — (909) 963-0800

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A780920 (CA)
Specialist Taxonomy 174400000X · Licence 00A780920

Record details

NPI number1386778033
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 15, 2007
Last updated in NPPESSeptember 27, 2024
Certification dateSeptember 27, 2024
Mailing address8235 Rochester Ave Ste 110, Rancho Cucamonga, CA 91730-0719

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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