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DR. MARTIN PHAN MD
NPI 1063994879
Specialist/Technologist, Other - Electroneurodiagnostic in San Jose, CA

Active since August 29, 2018
2995 EDISON DR, SAN JOSE, CA 95133(408) 515-9029 Get Directions Write a Review

NPPES record last updated: August 29, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Martin Phan Md NPPES

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

DR. MARTIN PHAN MD (NPI 1063994879) is an individual electroneurodiagnostic provider in San Jose, California, licensed in California (3442) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1063994879
Entity TypeIndividualMale
Primary Taxonomy246ZE0600X
Provider Legal NameDR. MARTIN PHANCredential: MD
Location Address2995 EDISON DRSan Jose, CA 95133-2412
Mailing Address2995 Edison DrSan Jose, CA 95133-2412
Phone(408) 515-9029
Sole ProprietorYes
Enumeration DateAugust 29, 2018
✔ NPI 1063994879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · ElectroneurodiagnosticTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZE0600X
License✔ Licensed in CA · 3442
2995 EDISON DR, San Jose, CA 95133
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Martin Phan's NPI number?

The NPI number for Martin Phan is 1063994879. It was assigned to this individual provider in the NPPES registry on August 29, 2018.

Where is Martin Phan located?

Martin Phan practices at 2995 Edison Dr, San Jose, CA 95133. The listed phone number is (408) 515-9029.

What is Martin Phan's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Electroneurodiagnostic, with taxonomy code 246ZE0600X.

When was this NPI record last updated?

The NPPES record for Martin Phan was last updated on August 29, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.