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

Kevin Ht Phan, MD

Individual provider Orthopaedic Surgery Physician · NPI 1033539150

Kevin Ht Phan, MD is an Orthopedic Surgery in Rancho Cucamonga, California. Graduated from University of California, San Diego School of Medicine in 2014, 12 years ago. Practices with San Bernardino Medical Orthopaedic Group Inc, a 91-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
12
Trained at
University of California, San Diego School of Medicine
Licensed in
MI
In the registry since
2014
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

8805 Haven Ave Ste 200
Rancho Cucamonga, CA 91730-5157
Phone: (909) 912-1750
Fax: (909) 989-4477
Show map & directions

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

Additional practice locations (1)

  • 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 — (616) 459-7101

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 4301501266 (MI)

Record details

NPI number1033539150
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 17, 2014
Last updated in NPPESJune 6, 2021
Certification dateJune 6, 2021
Mailing address1801 Orange Tree Ln Ste 200, Redlands, CA 92374-4587

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice San Bernardino Medical Orthopaedic Group Inc — 91 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Rancho Cucamonga