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

Mason Hieu Phan

Individual provider Diagnostic Radiology Physician · NPI 1639757032

Mason Hieu Phan is a Diagnostic Radiology in Loma Linda, California. Graduated from Georgetown University School of Medicine in 2021, 5 years ago. Works from 3 locations. Licensed in California.

Years since qualifying
5
Trained at
Georgetown University School of Medicine
Licensed in
CA
In the registry since
2021
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Practice location Address checks out

11234 Anderson Street Westerly C
Loma Linda, CA 92354
Phone: (909) 558-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 101 The City Dr S, Orange, CA 92868-3201 — (714) 456-8888
  • 4445 Magnolia Ave, Riverside, CA 92501-4135 — (951) 788-3274

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence A182123 (CA)

Record details

NPI number1639757032
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 29, 2021
Last updated in NPPESFebruary 11, 2026
Certification dateFebruary 11, 2026

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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