Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mindy Thanh Phan, PA-C

Individual provider Physician Assistant · NPI 1063996916

Mindy Thanh Phan, PA-C is a Physician Assistant in Tustin, California. Practices as a sole proprietor and works from 3 locations. Licensed in California.

Licensed in
CA
In the registry since
2018
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

661 W 1st St Ste G
Tustin, CA 92780-2939
Phone: (714) 665-9890
Fax: (714) 665-9891
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 9918 Katella Ave Ste A-C, Anaheim, CA 92804-6465 — (714) 644-9494
  • 11180 Warner Ave Ste 353, Fountain Valley, CA 92708-7516 — (714) 968-6789

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA56216 (CA)

Record details

NPI number1063996916
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 17, 2018
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025
Mailing address661 W 1st St Ste G, Tustin, CA 92780-2939

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