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DUNG MY PHAN MD INC
NPI 1104261700
Family Medicine in San Jose, CA

Active since May 08, 2013CLIA 05D0717291 · Waiver
1693 FLANIGAN DR, SUITE #100, SAN JOSE, CA 95121(408) 274-3881(408) 274-9053 Get Directions Write a Review

NPPES record last updated: February 19, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dung My Phan Md Inc NPPES

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

DUNG MY PHAN MD INC (NPI 1104261700) is a healthcare organization registered as a family medicine in San Jose, California and active in the NPI registry since May 2013. The organization holds a CLIA Waiver certificate valid through June 26, 2028 and lists Dung My Phan, President, as its authorized official.

NPPES Registry Identity

NPI1104261700
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDUNG MY PHAN MD INC
Location Address1693 FLANIGAN DR, SUITE #100San Jose, CA 95121-1683
Mailing Address1693 Flanigan Dr, Suite #100San Jose, CA 95121-1683 · (408) 274-3881 · Fax (408) 274-9053
Phone(408) 274-3881
Fax(408) 274-9053
Organization SubpartNo
Authorized OfficialDung My PhanPresident · (408) 274-3881
Enumeration DateMay 8, 2013
Last NPPES UpdateFebruary 19, 2014
✔ NPI 1104261700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A42236
Definition
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.
1693 FLANIGAN DR, San Jose, CA 95121
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Other Identifiers 1

Medicare PIN00A422360CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0717291

Dung My Phan, MD Inc · San Jose, CA
Active · expires Jun 26, 2028
CLIA Number05D0717291
Laboratory TypePhysician Office
Certificate Effective DateJune 27, 2026
Certificate Expiration DateJune 26, 2028
Laboratory DirectorDung M. Phan, MD
Laboratory Phone(408) 274-3881
Laboratory LocationDung My Phan, MD Inc1693 Flanigan Dr Ste 100, San Jose, CA 95121
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. VAN THI THANH NGUY DDS
Dentist
1693 FLANIGAN DR, #102
SAN JOSE, CA 95121
Santa Clara County (408) 270-4849
DR. SCHAUN CHAN GABUCAN DMD
Dentist
1693 FLANIGAN DR, SUITE 103
SAN JOSE, CA 95121
Santa Clara County (408) 315-1181
PANSMART INC
Pharmacy (Community/Retail Pharmacy)
1693 FLANIGAN DR, 104
SAN JOSE, CA 95121
Santa Clara County (408) 274-6698
DR. AN THI PHAM M.D.
Pediatrics
1693 FLANIGAN DR, SUITE # 101
SAN JOSE, CA 95121
Santa Clara County (408) 274-1339
TULLY CLINIC PHARMACY
Pharmacy (Community/Retail Pharmacy)
1693 FLANIGAN DR, STE 104
SAN JOSE, CA 95121
Santa Clara County (408) 274-6698
MRS. DUNG MY PHAN MD
Family Medicine
1693 FLANIGAN DR, #100
SAN JOSE, CA 95121
Santa Clara County (408) 274-3881

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 Dung My Phan MD Inc's NPI number?

The NPI number for Dung My Phan MD Inc is 1104261700. It was assigned to this organization in the NPPES registry on May 8, 2013.

Where is Dung My Phan MD Inc located?

Dung My Phan MD Inc is located at 1693 Flanigan Dr Suite #100, San Jose, CA 95121. The listed phone number is (408) 274-3881.

What is Dung My Phan MD Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Dung My Phan MD Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0717291) is associated with this NPI, valid through June 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dung My Phan MD Inc was last updated on February 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.