Dennis Phan (NPI# 1437238342, PAC ID# 2668416314) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1437238342 |
| PAC ID by PECOS | 2668416314 |
| Professional Enrollment ID | I20050614000978 |
| Full Name | Dennis Phan |
| Organization Legal Name | CENTRAL COAST NEPHROLOGY MEDICAL CORPORATION |
| Address |
917 Blanco Cir Salinas CA 93901-4446 |
| Phone Number | 8317557999 |
| Gender | M |
| Credential | MD |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 2466495759 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050334 | SALINAS VALLEY MEMORIAL HOSPITAL |
| 050038 | SANTA CLARA VALLEY MEDICAL CENTER |
| 050296 | HAZEL HAWKINS MEMORIAL HOSPITAL |
| 050248 | NATIVIDAD MEDICAL CENTER |
| 050189 | GEORGE L MEE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 8095 Camino Arroyo, Suite 250, Gilroy, CA 95020-7304 | 4088472200 | CENTRAL COAST NEPHROLOGY MEDICAL CORPORATION |
| 911 Sunset Dr, Hollister, CA 95023-5606 | 8316375711 | HAZEL HAWKINS MEMORIAL HOSPITAL |
| 917 Blanco Cir, Salinas, CA 93901-4446 | 8317557999 | CENTRAL COAST NEPHROLOGY MEDICAL CORPORATION |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | CENTRAL COAST NEPHROLOGY MEDICAL CORPORATION |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gopal G Krishna | Nephrology | Central Coast Nephrology Medical Corporation | 917 Blanco Cir, Salinas, CA 93901-4446 |
| Thang D Vu | Nurse Practitioner | Central Coast Nephrology Medical Corporation | 917 Blanco Cir, Salinas, CA 93901-4446 |
| Kavitha Hubbard | Nephrology | Central Coast Nephrology Medical Corporation | 917 Blanco Cir, Salinas, CA 93901-4446 |
| Sheila Faytaren | Nurse Practitioner | Central Coast Nephrology Medical Corporation | 917 Blanco Cir, Salinas, CA 93901-4446 |
| Barbara L Rever | Nephrology | Central Coast Nephrology Medical Corporation | 917 Blanco Cir, Salinas, CA 93901-4446 |
| Raymond R Carrillo | Nephrology | Central Coast Nephrology Medical Corporation | 917 Blanco Cir, Salinas, CA 93901-4446 |
| Megan Fitzmaurice May | Nephrology | Central Coast Nephrology Medical Corporation | 917 Blanco Cir, Salinas, CA 93901-4446 |
| Anna Malkina | Nephrology | Central Coast Nephrology Medical Corporation | 917 Blanco Cir, Salinas, CA 93901-4446 |
| Street Address |
917 BLANCO CIR |
| City | SALINAS |
| State | CA |
| Zip | 93901-4446 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gopal G Krishna | Nephrology | Central Coast Nephrology Medical Corporation | 917 Blanco Cir, Salinas, CA 93901-4446 |
| Thang D Vu | Nurse Practitioner | Central Coast Nephrology Medical Corporation | 917 Blanco Cir, Salinas, CA 93901-4446 |
| Kavitha Hubbard | Nephrology | Central Coast Nephrology Medical Corporation | 917 Blanco Cir, Salinas, CA 93901-4446 |
| Sheila Faytaren | Nurse Practitioner | Central Coast Nephrology Medical Corporation | 917 Blanco Cir, Salinas, CA 93901-4446 |
| Barbara L Rever | Nephrology | Central Coast Nephrology Medical Corporation | 917 Blanco Cir, Salinas, CA 93901-4446 |
| Raymond R Carrillo | Nephrology | Central Coast Nephrology Medical Corporation | 917 Blanco Cir, Salinas, CA 93901-4446 |
| Megan Fitzmaurice May | Nephrology | Central Coast Nephrology Medical Corporation | 917 Blanco Cir, Salinas, CA 93901-4446 |
| Anna Malkina | Nephrology | Central Coast Nephrology Medical Corporation | 917 Blanco Cir, Salinas, CA 93901-4446 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anil K Sethi | Optometry | 1152 S Main St, Salinas, CA 93901-2204 | |
| Denise Doronila | Physician Assistant | Doctors On Duty Medical Group, Inc | 1212 S Main St, Salinas, CA 93901-2260 |
| Shannon Omahoney | Nurse Practitioner | Doctors On Duty Medical Group, Inc | 1212 S Main St, Salinas, CA 93901-2260 |
| Scott S Prysi | Family Medicine | Doctors On Duty Medical Group, Inc | 1212 S Main St, Salinas, CA 93901-2260 |
| John M Gray | Emergency Medicine | Doctors On Duty Medical Group, Inc | 1212 S Main St, Salinas, CA 93901-2260 |
| Steven Fa Liu | Family Medicine | Doctors On Duty Medical Group, Inc | 1212 S Main St, Salinas, CA 93901-2260 |
| Kevin Lee Stuessy | Physician Assistant | Doctors On Duty Medical Group, Inc | 1212 S Main St, Salinas, CA 93901-2260 |
| Naomi Anne Hetzel | Nurse Practitioner | Doctors On Duty Medical Group, Inc | 1212 S Main St, Salinas, CA 93901-2260 |
| Matthew Sims Fiess | Physician Assistant | Doctors On Duty Medical Group, Inc | 1212 S Main St, Salinas, CA 93901-2260 |
| Katie Erin Lutz | Nurse Practitioner | Doctors On Duty Medical Group, Inc | 1212 S Main St, Salinas, CA 93901-2260 |
| Find all physicians in zip 93901 | |||
| City | SALINAS |
| Zip Code | 93901 |
| Specialty | NEPHROLOGY |
| City + Specialty | SALINAS + NEPHROLOGY |
Please comment or provide details below to improve the information on Dennis Phan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.