Doctor profile · Federal record
Dr. Theodore Phan
Physician Assistant · Student in an Organized Health Care Education/Training Program · Novato, CA
- NPI 1104546969
- MIPS 86.3 / 100 · 2023
- 4 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
52 Trinity Dr
Novato, CA 949475246
(415) 320-2313
Credentials & registration
- NPI registered
- August 2022 — 4 yrs on file
- Profile last updated
- December 5, 2022
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- California #61808
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104546969. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
20
Distinct HCPCS
1
Medicare allowed
$2,936
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99285 |
Emergency department visit with high level of medical decision making | 20 | 20 | $147 |
In context: peer comparison
Among 3 peers in Novato Physician Assistant, average services per provider: 346. This provider delivers 0.1× the peer median.Frequently asked questions
What is Dr. Theodore Phan's medical specialty?
Dr. Theodore Phan practices Physician Assistant in Novato, CA.
Where does Dr. Theodore Phan practice?
Dr. Theodore Phan practices at 52 Trinity Dr, Novato, CA 949475246. Office phone: 4153202313.
What is Dr. Theodore Phan's NPI?
Dr. Theodore Phan's National Provider Identifier (NPI) is 1104546969, issued by NPPES.
What procedures does Dr. Theodore Phan commonly perform?
Top Medicare-reported procedures in 2023: Emergency department visit with high level of medical decision making (HCPCS 99285). Source: CMS Medicare Physician & Other Practitioners file.