KENNY PHAN PA-C
NPI 1033931621
Physician Assistant in Santa Clara, CA

Active since October 25, 2024PECOS Enrolled
700 LAWRENCE EXPY, SANTA CLARA, CA 95051(408) 851-1000 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 3, 2025, Jul 3, 2025, Mar 4, 2025 (3 updates tracked since 2025).

About Kenny Phan Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNY PHAN PA-C (NPI 1033931621) is an individual physician assistant in Santa Clara, California and active in the NPI registry since October 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1033931621
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKENNY PHANCredential: PA-C
Location Address700 LAWRENCE EXPYSanta Clara, CA 95051-5173
Mailing Address710 Lawrence Expy Dept 348Santa Clara, CA 95051-5173
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 25, 2024
Last NPPES UpdateNovember 3, 20253 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
NPI 1033931621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

700 LAWRENCE EXPY, Santa Clara, CA 95051

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kenny Phan Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749787059
PECOS Enrollment IDI20251010002086
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 95051 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $106.47
  • Minimum New Patient Price $70.37
  • Maximum New Patient Price $206.04
  • Average New Patient Copayment $26.61
  • Minimum New Patient Copayment $17.59
  • Maximum New Patient Copayment $51.51

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $86.56
  • Minimum Established Patient Price $23.96
  • Maximum Established Patient Price $169.6
  • Average Established Patient Copayment $21.64
  • Minimum Established Patient Copayment $5.99
  • Maximum Established Patient Copayment $42.4

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant
700 LAWRENCE EXPY
SANTA CLARA, CA 95051
Nurse Anesthetist, Certified Registered
700 LAWRENCE EXPY
SANTA CLARA, CA 95051
Nurse Anesthetist, Certified Registered
700 LAWRENCE EXPY
SANTA CLARA, CA 95051
Nurse Anesthetist, Certified Registered
700 LAWRENCE EXPY
SANTA CLARA, CA 95051
Dietitian, Registered
700 LAWRENCE EXPY, BASEMENT, NUTRITION SVCS -DEPT B08
SANTA CLARA, CA 95051
Nurse Anesthetist, Certified Registered
700 LAWRENCE EXPY
SANTA CLARA, CA 95051
Nurse Anesthetist, Certified Registered
700 LAWRENCE EXPY
SANTA CLARA, CA 95051
Nurse Anesthetist, Certified Registered
700 LAWRENCE EXPY
SANTA CLARA, CA 95051
Nurse Anesthetist, Certified Registered
700 LAWRENCE EXPY
SANTA CLARA, CA 95051
Pharmacist
700 LAWRENCE EXPY
SANTA CLARA, CA 95051
Physical Therapist
700 LAWRENCE EXPY
SANTA CLARA, CA 95051
Pharmacist
700 LAWRENCE EXPY
SANTA CLARA, CA 95051
Pharmacist
700 LAWRENCE EXPY
SANTA CLARA, CA 95051
Physical Therapist
700 LAWRENCE EXPY
SANTA CLARA, CA 95051
Dietitian, Registered
700 LAWRENCE EXPY
SANTA CLARA, CA 95051
General Acute Care Hospital
700 LAWRENCE EXPY
SANTA CLARA, CA 95051
Dietitian, Registered
700 LAWRENCE EXPY
SANTA CLARA, CA 95051
Pharmacist
700 LAWRENCE EXPY
SANTA CLARA, CA 95051
Registered Nurse (Neonatal Intensive Care)
700 LAWRENCE EXPY
SANTA CLARA, CA 95051
Pharmacist (Oncology)
700 LAWRENCE EXPY
SANTA CLARA, CA 95051

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033931621, enumerated as an "individual" on October 25, 2024.

The provider is located at 700 LAWRENCE EXPY SANTA CLARA, CA 95051 and the phone number is (408) 851-1000.

Physician Assistant with taxonomy code 363A00000X.