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

Kim Phan, PA-C

Individual provider Physician Assistant · NPI 1043934706

Kim Phan, PA-C is a Physician Assistant in Irvine, California. Qualified in 2022, 4 years ago. Practices with Kim Tang MD Inc, a 5-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4980 Barranca Pkwy Ste 202
Irvine, CA 92604-8653
Phone: (949) 733-1336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (CA)

Record details

NPI number1043934706
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 27, 2022
Last updated in NPPESSeptember 27, 2022
Certification dateSeptember 27, 2022
Mailing address3725 S Woodland Pl, Santa Ana, CA 92707-4737

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Kim Tang Md Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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