MRS. CHAU MY PHAN (NPI# 1154330017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154330017 |
| Entity Type | Individual |
| Full Name | MRS. CHAU MY PHAN |
| Credential | DENTIST |
| Practice Address |
2820 Alum Rock Ave #30 San Jose CA 95127 |
| Practice Telephone | 4089375058 |
| Practice Fax Number | 4089371309 |
| Mailing Telephone | 4089375058 |
| Mailing Fax Number | 4089371309 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
50971 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 50971 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225682925 | Chau Ngoc Thanh Phan | Registered Nurse | 9191 Westminster Ave Ste 108, Garden Grove, CA 92844-2751 | 2019-07-31 |
| 1912139403 | Chau Thanh Phan | Pharmacist | 1101 Welch Rd Ste C12, Palo Alto, CA 94304-1928 | 2009-08-17 |
| 1235114141 | Chau Phan | Physical Therapist | 3336 E Chandler Heights Rd Ste 126, Gilbert, AZ 85298 | 2005-12-13 |
| 1982057089 | Chau Phan | Pharmacist | 5822 Edinger Ave, Huntington Beach, CA 92649-1705 | 2016-07-13 |
| Street Address |
2820 ALUM ROCK AVE #30 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972553048 | Ricardo Narciso Lopez | Pediatrics | 2820 Alum Rock Ave, Suite 50, San Jose, CA 95127-5608 | 2006-05-11 |
| 1427136894 | Alfredo Ramirez | Family Medicine | 2820 Alum Rock Ave, San Jose, CA 95127-5608 | 2006-11-01 |
| 1114014339 | Phanle, Inc | Pharmacy | 2820 Alum Rock Ave, Suite 43, San Jose, CA 95127-5608 | 2006-10-09 |
| 1710085055 | Parra Medical Clinic, Inc. | Nurse Practitioner | 2820 Alum Rock Ave, Suite 10, San Jose, CA 95127-5608 | 2006-09-20 |
| 1023037421 | Caroline S. Parra | Nurse Practitioner | 2820 Alum Rock Ave, Suite #10, San Jose, CA 95127-5608 | 2006-07-18 |
| 1912922840 | Gustavo B. Parra | Family Medicine | 2820 Alum Rock Ave, Suite #10, San Jose, CA 95127-5608 | 2006-07-13 |
| 1568406957 | Prabjot Sandhu | Physician Assistant | 2820 Alum Rock Ave, San Jose, CA 95127-5608 | 2006-06-15 |
| 1215974241 | Alicia Vazquez | Pediatrics | 2820 Alum Rock Ave, Suite 50, San Jose, CA 95127-5608 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225635162 | Veronica Isabel Foggie | Massage Therapist | 3570 Ct, San Jose, CA 95127 | 2020-10-05 |
| 1235605528 | Melissa Ann Morgan | Case Manager/Care Coordinator | 428 N. White Rd., San Jose, CA 95127 | 2018-10-15 |
| 1386126621 | Alum Rock Counseling Center | Community/Behavioral Health | 14281 Story Road, San Jose, CA 95127 | 2018-09-04 |
| 1407359383 | Erin Rodriguez | Behavior Technician | 1593 Amesbury Way, San Jose, CA 95127 | 2018-03-16 |
| 1407209919 | Binita Dorce | Counselor | 14820 Mcvay Avenue, San Jose, CA 95127 | 2016-07-20 |
| 1851766448 | Lynn H Trieu | Pharmacist | 3200 Kawalker Ln, San Jose, CA 95127 | 2015-12-08 |
| 1184099723 | Royal Plus Home Care, Inc | In Home Supportive Care | 302-f Toyon Ave. #182, San Jose, CA 95127 | 2015-12-08 |
| 1710363916 | Chan Pham | Acupuncturist | 10048 Bethel Ave, San Jose, CA 95127 | 2015-08-11 |
| 1639574320 | Jesus I Yanez | Dentist | 100 South White Road Suite 210, San Jose, CA 95127 | 2014-10-24 |
| 1285051110 | Vinh Quang Tran | Pharmacist | 3478 Neves Way, San Jose, CA 95127 | 2014-03-28 |
| Find all providers in zip 95127 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023623865 | Nguyen and Tran Dental Corporation | Dentist | 6130 Hellyer Avenue, San Jose, CA 95138 | 2020-09-09 |
| 1699307835 | Simranpreet Kaur | Dentist | 3323 Arqueado Dr, San Jose, CA 95148-2106 | 2020-02-05 |
| 1629616479 | Colin S. Ilas D.d.s. | Dentist | 1206 N Capitol Ave Ste 101, San Jose, CA 95132-2572 | 2019-12-11 |
| 1376197848 | Mariam Samir Abadir | Dentist | 1670 Westwood Dr. Suite K, San Jose, CA 95125 | 2019-08-01 |
| 1427601400 | Parisa Radi | Dentist | 7318 Glenview Dr, San Jose, CA 95120-5806 | 2019-07-19 |
| 1346802469 | Trammie Bui D.d.s., Inc | Dentist | 228 N Jackson Ave Ste 50, San Jose, CA 95116-1602 | 2019-06-29 |
| 1922669597 | Tracy Filler, Dmd, Inc. | Dentist | 1569 Lexann Drive, Suite 202, San Jose, CA 95121 | 2019-06-25 |
| 1508346818 | Lai and Wu Dental Corp | Dentist | 670 River Oaks Pkwy Ste J, San Jose, CA 95134-1988 | 2018-08-16 |
| 1477039998 | Jae Hyuk Yun | Dentist | 651 Eden Ave, San Jose, CA 95117-2209 | 2018-07-18 |
| 1699260935 | Rodolfo Hernandez Morales | Dentist | 171 George St, San Jose, CA 95110-2118 | 2018-06-28 |
| Find all providers in SAN JOSE | ||||
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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.