DR. BICHVAN PHAN (NPI# 1093707085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093707085 |
| Entity Type | Individual |
| Full Name | DR. BICHVAN PHAN |
| Other Name | REBECCA BICHVAN PHAN |
| Credential | MD |
| Practice Address |
200 Jose Figueres Ave Suite 370 San Jose CA 95116-1500 |
| Practice Telephone | 4089299211 |
| Practice Fax Number | 4089291065 |
| Mailing Telephone | 4089299211 |
| Mailing Fax Number | 4089291065 |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2012-12-18 |
| NPI Deactivation Date | 04/05/2006 |
| NPI Reactivation Date | 2006-06-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | G061219 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
200 JOSE FIGUERES AVE SUITE 370 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95116-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053317818 | Raymond W. Lee | Internal Medicine | 200 Jose Figueres Ave, Ste 245, San Jose, CA 95116-1588 | 2005-06-24 |
| 1932635596 | Gastroenterology Consultants of San Jose | Internal Medicine | 200 Jose Figueres Ave, Suite 170, San Jose, CA 95116-1500 | 2017-05-02 |
| 1144779265 | Silicon Valley Infusion Center | Clinic/Center | 200 Jose Figueres Ave, Suite 103, San Jose, CA 95116-1500 | 2016-09-30 |
| 1801241005 | Lexean Behavioral Health Inc | Psychiatry & Neurology | 200 Jose Figueres Ave, Suite 265, San Jose, CA 95116-1500 | 2016-04-26 |
| 1588056386 | Thuy Tuong Nguyen Md Medical Corporation | Clinic/Center | 200 Jose Figueres Ave, Ste 395, San Jose, CA 95116-1500 | 2015-03-03 |
| 1053703983 | Mobile Docs Inc | Family Medicine | 200 Jose Figueres Ave, 320, San Jose, CA 95116-1500 | 2015-03-02 |
| 1689089559 | Advanced Imaging of Tracy LLC | Radiology | 200 Jose Figueres Ave, Ste 190, San Jose, CA 95116-1586 | 2014-06-30 |
| 1881005221 | Lindsey Bettisworth | Physician Assistant | 200 Jose Figueres Ave, Ste 485, San Jose, CA 95116-1500 | 2014-05-19 |
| 1659612422 | Cdocs Associates, Inc. | Internal Medicine | 200 Jose Figueres Ave, Suite 365, San Jose, CA 95116-1500 | 2013-03-04 |
| 1336492800 | Real Time Neuromonitoring Associates of Ca PC | Specialist | 200 Jose Figueres Ave, Suite 475, San Jose, CA 95116-1500 | 2012-10-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821570102 | Lori Chung Cho Dmd Inc. | Clinic/Center | 150 N Jackson Ave Ste 103, San Jose, CA 95116 | 2018-09-03 |
| 1306333174 | Patrick Suezaki | Dentist | 250 Montclair Ave Ste C, San Jose, CA 95116 | 2018-04-17 |
| 1871016147 | Israel Enrique Ruiz Lora | Social Worker | 1075 East Santa Clara, San Jose, CA 95116 | 2017-07-19 |
| 1275072613 | Araceli Yazmin Garcia | Case Manager/Care Coordinator | 1652 E San Fernando St, San Jose, CA 95116 | 2017-02-17 |
| 1710304712 | Natalie K. Huynh D.d.s Inc. | Dentist | 2340 Mckee Rd #24, San Jose, CA 95116 | 2014-03-27 |
| 1437597747 | Ian Ellis Mccoy | Internal Medicine | 2360 Mckee Rd Ste 10, San Jose, CA 95116 | 2013-06-08 |
| 1588913321 | Adrian Fernandez | Counselor | 1245 East Santa Clara Street, San Jose, CA 95116 | 2012-09-07 |
| 1851678841 | Krystal Lani Subia | Counselor | 101 Jose Figueres Avenue, San Jose, CA 95116 | 2011-11-04 |
| 1255668224 | Sophia O.j.m. Dijkstra | Physical Therapist | 180 N. Jackson Ave, San Jose, CA 95116 | 2009-11-11 |
| 1255562096 | Jovan De Guzman Sedilla | Physical Therapy Assistant | 180 N. Jackson Ave., San Jose, CA 95116 | 2009-07-28 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164929386 | Timothy M Nardine Md Medical Corporation | Obstetrics & Gynecology | 2530 Berryessa Rd Ste 218, San Jose, CA 95132-2903 | 2018-04-13 |
| 1689015349 | Thomas T H Lin Md Inc. | Obstetrics & Gynecology | 2405 Forest Ave., Suite 201, San Jose, CA 95128-1520 | 2013-07-10 |
| 1356601553 | Connie U Yeung | Obstetrics & Gynecology | 2585 Samaritan Dr Ste 101c, San Jose, CA 95124-4117 | 2012-05-22 |
| 1235409301 | Eduardo A. Vergara M.d. A Medical Corporation | Obstetrics & Gynecology | 2039 Forest Ave, 205-a, San Jose, CA 95128 | 2012-01-06 |
| 1669768420 | Maria A. Rodriguez Ballestas | Obstetrics & Gynecology | 2400 Samaritan Dr Ste 105, San Jose, CA 95124-3910 | 2011-06-21 |
| 1912224130 | Irene Cheng | Obstetrics & Gynecology | 1671 The Alameda Ste 101, San Jose, CA 95126-2222 | 2010-04-27 |
| 1013148998 | Kim Pham | Obstetrics & Gynecology | 1804 Mclaughlin Ave, San Jose, CA 95122-2902 | 2009-07-27 |
| 1790958049 | Anil Singhal | Obstetrics & Gynecology | 449 London Park Ct, San Jose, CA 95136-2021 | 2008-04-08 |
| 1437321866 | Lakshmi Bangalore Vatsan Sri | Obstetrics & Gynecology | 1299 Water Lily Way, Ste 90, San Jose, CA 95129-2868 | 2008-03-26 |
| 1154450302 | Steven P. Vo | Obstetrics & Gynecology | 2114 Senter Rd Ste 10, San Jose, CA 95112-2608 | 2007-03-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.