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

Victoria Phan

Individual provider Medical Physician Assistant · NPI 1306440011

Victoria Phan is a Physician Assistant in Surprise, Arizona. Qualified in 2022, 4 years ago. Practices with Arizona Dermatology Specialists, PLLC, a 6-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2020

Practice location Address checks out

14800 W Mountain View Blvd Ste 160
Surprise, AZ 85374-2700
Phone: (623) 584-3376
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 9192 (AZ)

Record details

NPI number1306440011
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 23, 2020
Last updated in NPPESJuly 23, 2024
Certification dateJuly 23, 2024
Mailing address14800 W Mountain View Blvd Ste 160, Surprise, AZ 85374-2700

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 Arizona Dermatology Specialists, Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Surprise