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

Kathy Phan

Individual provider Physician Assistant · NPI 1265077556

Kathy Phan is a Physician Assistant in Long Beach, California. Qualified in 2020, 6 years ago. Practices with Regents of the University of California, a 61-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
6
In the registry since
2019
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Practice location Address checks out

6553 E Pacific Coast Hwy # H9
Long Beach, CA 90803-4202
Phone: (562) 596-8700
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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 number1265077556
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 11, 2019
Last updated in NPPESJuly 25, 2022
Certification dateJuly 25, 2022
Mailing address6591 La Pat Ct Apt A, Westminster, CA 92683-3647

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Regents Of The University Of California — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Long Beach