ALEXANDER PHAN (NPI# 1750796371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750796371 |
Entity Type | Individual |
Full Name | ALEXANDER PHAN |
Credential | D.O. |
Practice Address |
401 Paradise Rd Suite E Modesto CA 95351-3163 |
Practice Telephone | 2095584000 |
Mailing Telephone | 2095584000 |
Enumeration Date | 2014-06-23 |
Last Update Date | 2017-08-15 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 20A14386 | CA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306278601 | Alexander Francis Phan | Physician Assistant | 1245 Wilshire Blvd Ste 606, Los Angeles, CA 90017-4806 | 2013-08-08 |
1437682747 | Alexander Phan | Student in an Organized Health Care Education/Training Program | 525 E 68th St, New York, NY 10065 | 2017-04-04 |
1952749087 | Alexander Phan | Nurse Practitioner | 1350 Ne 122nd Ave, Portland, OR 97230 | 2013-06-11 |
Street Address |
401 PARADISE RD SUITE E |
City | MODESTO |
State | CA |
Zip Code | 95351-3163 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750395083 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 401 Paradise Rd, Modesto, CA 95351-3163 | 2006-07-29 |
1457813610 | Long Hoang Dang | Student in an Organized Health Care Education/Training Program | 401 Paradise Rd, Modesto, CA 95351-3163 | 2019-04-04 |
1780140285 | Vu Nguyen | Pharmacist | 401 Paradise Rd, Modesto, CA 95351-3163 | 2019-02-20 |
1801377494 | Monica Garcia | Pharmacist | 401 Paradise Rd, Modesto, CA 95351-3163 | 2018-08-22 |
1649625146 | Rizwana Mollah | Student in an Organized Health Care Education/Training Program | 401 Paradise Rd, Ste E, Modesto, CA 95351-3163 | 2016-05-03 |
1912388406 | Amandeep Kaur Singh | Student in an Organized Health Care Education/Training Program | 401 Paradise Rd, Site E, Modesto, CA 95351-3163 | 2015-06-10 |
1154731818 | Sumerra Khan | Student in an Organized Health Care Education/Training Program | 401 Paradise Rd, Ste E, Modesto, CA 95351-3163 | 2014-05-04 |
1770928723 | Center for Human Services | Community/Behavioral Health | 401 Paradise Rd, Modesto, CA 95351-3163 | 2013-05-03 |
1457628034 | Marry Tran | Pharmacist | 401 Paradise Rd, Modesto, CA 95351-3163 | 2011-11-25 |
1336435817 | Patricio Clavecillas Jr. | Student in an Organized Health Care Education/Training Program | 401 Paradise Rd, Suite E, Modesto, CA 95351-3163 | 2011-06-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700392487 | Western Dental Services, Inc. | Dentist | 1524 Richland Ave, Ceres, CA 95351 | 2017-12-18 |
1881039873 | Sabrina Arora-thissen | Family Medicine | 401 Paradise Rd. Ste, Modesto, CA 95351 | 2013-05-03 |
1407163561 | Maliza Cahee Oliver | Dentist | 1404 Mitchell Rd, Modesto, CA 95351 | 2010-09-09 |
1124345616 | Jason Lee Paul Wayrynen | Social Worker | 1219 N Carpenter Rd Ste 12, Modesto, CA 95351 | 2010-04-23 |
1841469640 | Edgar Hse-hwa Han | Physical Medicine & Rehabilitation | 1521 N. Carpenter Road, Suite D-1, Modesto, CA 95351 | 2008-02-26 |
1326259326 | Karen Ann Peterson | Nurse Practitioner | 1340 Mitchell Rd, Modesto, CA 95351 | 2007-05-24 |
1013139054 | Bounchanh Trysavath | Physician Assistant | 300 I St, Modesto, CA 95351 | 2007-05-02 |
1245363464 | Sharon Basaldua1 | Counselor | 813 Moon Lane, Modesto, CA 95351 | 2007-03-14 |
1710046834 | Phil Chen | Dentist | 1460 Mitchell Road, Suite B, Modesto, CA 95351 | 2006-12-06 |
1649366055 | Victor Y. Chen | Family Medicine | 401 Paradise Road, Suite E, Modesto, CA 95351 | 2006-10-04 |
Find all providers in zip 95351 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861091126 | Silvia Diego Md Inc A Professional Medical Corp | Family Medicine | 1317 Oakdale Rd Ste 100, Modesto, CA 95355-3362 | 2020-10-19 |
1104393362 | Binh T Dang Md Inc | Family Medicine | 2209 Coffee Rd Ste I, Modesto, CA 95355-2360 | 2018-10-25 |
1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
1164957486 | Progressive Urgent Care Inc | Family Medicine | 801 17th St, Modesto, CA 95354-1243 | 2017-04-24 |
1881039873 | Sabrina Arora-thissen | Family Medicine | 401 Paradise Rd. Ste, Modesto, CA 95351 | 2013-05-03 |
1467725473 | James L Stanton, Md Inc | Family Medicine | 200 B1 West Roseburg Avenue, Modesto, CA 95350 | 2012-02-22 |
1154698447 | Shashi .t Sood M.d., Inc | Family Medicine | 1401 Spanos Ct Ste 110, Modesto, CA 95355-2812 | 2011-11-30 |
1639408362 | Charlie Walker | Family Medicine | 1320 Celeste Drive, Modesto, CA 95355 | 2009-12-08 |
1871783142 | Jose Limon M.d. Inc. | Family Medicine | 1809 Bumgardner Ct, Modesto, CA 95355-9295 | 2007-08-01 |
1437375094 | Christianne Bishop | Family Medicine | 600 Coffee Road, Sutter Gould Medical Foundation, Modesto, CA 95355 | 2007-04-18 |
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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.