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

Active since May 08, 2013
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: October 25, 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 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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dung My Phan Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dung My Phan MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dung Phan, MD
Family Practice
NPI 1912013780
1693 FLANIGAN DR #100
San Jose, CA 95121
(408) 274-3881
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Dung My Phan MD Inc enrolled in Medicare?

Yes. Dung My Phan MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dung My Phan MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Dung My Phan MD Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.