KATHERINE PHAN (NPI# 1417430844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417430844 |
| Entity Type | Individual |
| Full Name | KATHERINE PHAN |
| Practice Address |
6203 San Ignacio Ave Ste 150 San Jose CA 95119-1371 |
| Practice Telephone | 4089166287 |
| Mailing Telephone | 4089166287 |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2020-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 19050 Malaguerra Ave, Morgan Hill, CA 950379032 | 4089166287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275008450 | Katherine Phan | Pharmacist | 3875 Alton Pkwy, Irvine, CA 92606-8203 | 2018-10-04 |
| Street Address |
6203 SAN IGNACIO AVE STE 150 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95119-1371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649794793 | Mali Jasmine Gonzalez | Counselor | 6203 San Ignacio Ave Ste 150, San Jose, CA 95119-1371 | 2017-07-31 |
| 1346872710 | Decie Joy Eugenio | Counselor | 6203 San Ignacio Ave Ste 150, San Jose, CA 95119-1371 | 2020-02-04 |
| 1275187601 | Michele Danao | Student in an Organized Health Care Education/Training Program | 6203 San Ignacio Ave Ste 150, San Jose, CA 95119-1371 | 2019-07-24 |
| 1871150805 | Joshua Peter Brady | Student in an Organized Health Care Education/Training Program | 6203 San Ignacio Ave Ste 150, San Jose, CA 95119-1371 | 2019-05-24 |
| 1801358205 | Farah Zia | Counselor | 6203 San Ignacio Ave Ste 150, San Jose, CA 95119-1371 | 2019-04-03 |
| 1518449750 | Gabriel Osvaldo Cortez | Counselor | 6203 San Ignacio Ave Ste 150, San Jose, CA 95119-1371 | 2018-09-04 |
| 1992291173 | Yun Kim | Counselor | 6203 San Ignacio Ave Ste 150, San Jose, CA 95119-1371 | 2018-07-10 |
| 1255826319 | Rachel Costella | Counselor | 6203 San Ignacio Ave Ste 150, San Jose, CA 95119-1371 | 2018-06-29 |
| 1275039265 | Jonathan Michael Tong | Counselor | 6203 San Ignacio Ave Ste 150, San Jose, CA 95119-1371 | 2018-03-30 |
| 1760992705 | Michelle Eun-hee Kwon | Counselor | 6203 San Ignacio Ave Ste 150, San Jose, CA 95119 | 2017-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623594 | Julia Angelina Rojas | Rehabilitation Counselor | 298 A Bernal Rd, San Jose, CA 95119 | 2020-06-10 |
| 1609496215 | Kaiser Foundation Hospitals | Pharmacy | 274 International Cir Fl 1 Rm 104, San Jose, CA 95119 | 2020-04-23 |
| 1104451194 | Arthur Warren Hall | Counselor | 298 A Bernal Road, San Jose, CA 95119 | 2020-03-10 |
| 1992264774 | Jennifer Luu | Student in an Organized Health Care Education/Training Program | 276 International Circle Building, 1 - 2nd Floor - Family Medicine Residency Unit G, San Jose, CA 95119 | 2019-03-19 |
| 1194209510 | Victoria Marques | Pharmacist | 275 Hospital Parkway, Suite 625, San Jose, CA 95119 | 2018-09-21 |
| 1780123497 | Costco Wholesale Corporation | Hearing Aid Equipment | 6898 Raleigh Road, San Jose, CA 95119 | 2017-02-14 |
| 1437563855 | Mark Douglas Zukunft | Emergency Medicine | 250 Hospital Pkwy Dept Of, San Jose, CA 95119 | 2014-06-13 |
| 1669896338 | Paul J. Zuchowski Chiropractic, A Professional Corporation | Chiropractor | 6950 Santa Teresa Blvd., Ste.a, San Jose, CA 95119 | 2014-02-14 |
| 1700227873 | Yu-chien Cheng | Internal Medicine | 275 Hospital Pkwy Ste 600, San Jose, CA 95119 | 2013-07-17 |
| 1730432014 | Tami Otomo | Pharmacist | 6201 San Ignacio Ave, San Jose, CA 95119 | 2012-10-24 |
| Find all providers in zip 95119 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507021 | Lucid Lane Providers, P.C. | Counselor | 3251 Place Du Jardin, Optional, San Jose, CA 95148-9514 | 2020-10-28 |
| 1700491800 | Sean Garcia | Counselor | 2959 Carrington Ct, San Jose, CA 95125-4882 | 2020-09-15 |
| 1659985240 | Meng Chang Licensed Marriage and Family Therapist | Counselor | 1174 Lincoln Ave Ste 8, San Jose, CA 95125-3029 | 2020-09-02 |
| 1932721115 | Ellen C Gagne | Counselor | 290 N 2nd St Ste 202, San Jose, CA 95112-4143 | 2020-05-11 |
| 1215566773 | Michelle L. Powers | Counselor | 2 N Market St Ste 500, San Jose, CA 95113-1211 | 2020-04-06 |
| 1841823069 | Ana Gabriella Marquez | Counselor | 298 Bernal Rd # A, San Jose, CA 95119-1809 | 2020-02-17 |
| 1063044741 | Alyssa N Thompson | Counselor | 423 Los Arboles St, San Jose, CA 95111-2344 | 2020-02-10 |
| 1336770288 | Genevieve Altwer | Counselor | 3150 Almaden Expy Ste 223, San Jose, CA 95118-1253 | 2020-01-29 |
| 1477183705 | Benjamin C Jensen | Counselor | 1366 Petal Way, San Jose, CA 95129-4722 | 2020-01-26 |
| 1659910529 | Fred Finch Youth Center | Counselor | 2625 Zanker Rd Ste 122, San Jose, CA 95134-2130 | 2019-12-24 |
| 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.