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

Dr. Philip J. Fagan Jr., MD

Individual provider Internal Medicine Physician · NPI 1255335154

Dr. Philip J. Fagan Jr., MD is an Emergency Medicine in Tustin, California. Graduated from Tulane University School of Medicine in 1969, 57 years ago. Practices with Can Emergency Physicians Medical Group Inc, a 47-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
57
Trained at
Tulane University School of Medicine
Licensed in
CA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

14642 Newport Ave Ste 101
Tustin, CA 92780-6058
Phone: (714) 581-6470
Fax: (714) 581-6492
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence C32505 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence C32505 (CA)

Record details

NPI number1255335154
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 8, 2005
Last updated in NPPESJanuary 23, 2024
Certification dateJanuary 23, 2024

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Also practisesINTERNAL MEDICINE
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1969 (57 years in practice)
Group practice Can Emergency Physicians Medical Group Inc — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tustin