DR. ANDY PHAN (NPI# 1710934088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710934088 |
| Entity Type | Individual |
| Full Name | DR. ANDY PHAN |
| Credential | MD |
| Practice Address |
1014 San Juan Ave Exeter CA 93221-1312 |
| Practice Telephone | 5595927371 |
| Practice Fax Number | 5596246590 |
| Mailing Telephone | 5595927371 |
| Mailing Fax Number | 5596246590 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2012-01-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A75547 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588284368 | Andy Vo Phan | Student in an Organized Health Care Education/Training Program | 14116 Night Owl Ln, Parker, CO 80134-9283 | 2020-04-21 |
| 1043680333 | Andy Phan | Pharmacist | 407 N Sherman Ave, Liberal, KS 67901-3246 | 2015-09-30 |
| 1417416215 | Andy Phan | Behavioral Analyst | 12395 Lewis St Ste 202, Garden Grove, CA 92840-4694 | 2019-03-19 |
| Street Address |
1014 SAN JUAN AVE |
| City | EXETER |
| State | CA |
| Zip Code | 93221-1312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639138852 | Roberto Gugig | Pediatrics | 1014 San Juan Ave, Exeter, CA 93221-1312 | 2006-03-17 |
| 1891242491 | Mark Needham | Social Worker | 1014 San Juan Ave, Exeter, CA 93221-1312 | 2016-09-01 |
| 1952754525 | Helen Rios | Registered Nurse | 1014 San Juan Ave, Exeter, CA 93221-1312 | 2016-07-19 |
| 1811210511 | Tammy Petrossian | Dietitian, Registered | 1014 San Juan Ave, Exeter, CA 93221-1312 | 2010-03-09 |
| 1619152089 | Pamela A Harder | Social Worker | 1014 San Juan Ave, Exeter, CA 93221-1312 | 2008-01-04 |
| 1457548273 | Joan Hennes | Social Worker | 1014 San Juan Ave, Exeter, CA 93221-1312 | 2007-09-25 |
| 1861689689 | Dennis O'bosky | Counselor | 1014 San Juan Ave, Exeter, CA 93221-1312 | 2007-09-25 |
| 1003008855 | Alisia D. Lee | Physician Assistant | 1014 San Juan Ave, Exeter, CA 93221-1312 | 2007-08-15 |
| 1730216987 | Desiree Veronica Rodgers | Pediatrics | 1014 San Juan Ave, Exeter, CA 93221-1312 | 2007-02-27 |
| 1053480046 | Vanessa E Glaze | Nurse Practitioner | 1014 San Juan Ave, Exeter, CA 93221-1312 | 2006-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255766069 | Annita Ruth Regehr | Counselor | 125 S. 'f' St., Exeter, CA 93221 | 2013-09-11 |
| 1760609168 | Martina Gutierrez | Student in an Organized Health Care Education/Training Program | 514-516 N. Kaweah, Exeter, CA 93221 | 2007-04-19 |
| 1063638823 | Darren L Rich | Dentist | 140 S B St, Exeter, CA 93221 | 2007-04-18 |
| 1033127014 | Exeter District Ambulance | Ambulance | 302 East Palm Street, Exeter, CA 93221 | 2006-08-04 |
| 1942221171 | R Douglas Owen Do Inc | Family Medicine | 244 N Kaweah Ave, Exeter, CA 93221 | 2006-07-22 |
| 1417909615 | Ann E. Hickey | Internal Medicine | 560 South Elberta Road, Exeter, CA 93221 | 2006-05-16 |
| 1629029194 | Talaksoon Khademi | Obstetrics & Gynecology | 1014 San Juan Ave., Exeter, CA 93221 | 2006-05-12 |
| 1518402858 | Teresa De Jesus Cruz | Counselor | 516 N Kaweah Ave, Exeter, CA 93221 | 2016-12-22 |
| 1871726133 | Vance Physical Therapy and Wellness Inc | Clinic/Center | 511 W Visalia Rd, Exeter, CA 93221 | 2009-09-02 |
| 1912039959 | Ramiro Mena Raya Jr. | Counselor | 516 N Kaweah Ave, Exeter, CA 93221 | 2007-03-12 |
| Find all providers in zip 93221 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124187018 | David Alan Sine | Pediatrics | 216 E Pine St, Exeter, CA 93221-1750 | 2006-12-06 |
| 1679521884 | Denise M Ogrady | Pediatrics | 150 Front St # 42, Exeter, NH 03833-2329 | 2006-05-04 |
| 1750369401 | Maria Ximena Simonuvic | Pediatrics | 330 E Pine St, Exeter, CA 93221-1838 | 2006-01-04 |
| 1235591744 | Debra Rachel Simon | Pediatrics | 5 Alumni Dr, Exeter, NH 03833-2128 | 2016-03-23 |
| 1780975904 | Kealani Sine Md Inc | Pediatrics | 216 E Pine St, Exeter, CA 93221-1750 | 2011-04-21 |
| 1588984488 | Daniel R Kyle | Pediatrics | 9 Buzell Ave, Exeter, NH 03833 | 2010-06-03 |
| 1508189952 | Julianne E Randolph | Pediatrics | 216 E Pine St, Exeter, CA 93221-1750 | 2010-03-12 |
| 1194949354 | Kealani Kanehe Sine | Pediatrics | 216 E Pine St, Exeter, CA 93221-1750 | 2007-04-12 |
| 1821141334 | Deborah Lynn Foster Turiano | Pediatrics | 10 Hampton Rd, Exeter, NH 03833-4806 | 2007-01-19 |
| 1508967993 | Martha Toy Fountain | Pediatrics | 9 Buzell Ave, Exeter, NH 03833-2522 | 2006-09-26 |
| Find all providers in EXETER | ||||
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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.