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

Robert Phan, PA-C

Individual provider Physician Assistant · NPI 1467266536

Robert Phan, PA-C is a Physician Assistant in Long Beach, California. Qualified in 2024, 2 years ago. Practices with Amniotti Inc, a 2-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2025
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

4251 Long Beach Blvd Ste 102
Long Beach, CA 90807-2005
Phone: (210) 761-7617
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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 number1467266536
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 6, 2025
Last updated in NPPESNovember 9, 2025
Certification dateNovember 9, 2025
Mailing address590 N Vermont Ave, Los Angeles, CA 90004-2115

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Amniotti Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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