TUAN QUOC PHAN LVN
NPI 1114889763
Licensed Vocational Nurse in Santa Rosa, CA

Active since December 02, 2025
790 SONOMA AVE, SANTA ROSA, CA 95404(707) 544-3295 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tuan Quoc Phan Lvn NPPES

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

TUAN QUOC PHAN LVN (NPI 1114889763) is an individual licensed vocational nurse in Santa Rosa, California, licensed in California (739726) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1114889763
Entity TypeIndividualMale
Primary Taxonomy164X00000X
Provider Legal NameTUAN QUOC PHANCredential: LVN
Location Address790 SONOMA AVESanta Rosa, CA 95404-4713
Mailing Address2403 Professional DrSanta Rosa, CA 95403-3007 · (707) 544-3295
Sole ProprietorNo
Enumeration DateDecember 2, 2025
NPPES CertifiedDecember 2, 2025
NPI 1114889763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License Licensed in CA · 739726
Definition
A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
790 SONOMA AVE, Santa Rosa, CA 95404

Other Providers at the Same Location NPPES 20

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

Licensed Vocational Nurse
790 SONOMA AVE
SANTA ROSA, CA 95404
Counselor (Addiction (Substance Use Disorder))
790 SONOMA AVE
SANTA ROSA, CA 95404
Licensed Vocational Nurse
790 SONOMA AVE
SANTA ROSA, CA 95404
Physician Assistant (Medical)
790 SONOMA AVE
SANTA ROSA, CA 95404
Licensed Vocational Nurse
790 SONOMA AVE
SANTA ROSA, CA 95404
Physician Assistant (Medical)
790 SONOMA AVE
SANTA ROSA, CA 95404
Counselor (Addiction (Substance Use Disorder))
790 SONOMA AVE
SANTA ROSA, CA 95404
Technician, Other
790 SONOMA AVE
SANTA ROSA, CA 95404

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 Tuan Phan's NPI number?

The NPI number for Tuan Phan is 1114889763. It was assigned to this individual provider in the NPPES registry on December 2, 2025.

Where is Tuan Phan located?

Tuan Phan practices at 790 Sonoma Ave, Santa Rosa, CA 95404. The listed phone number is (707) 544-3295.

What is Tuan Phan's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Tuan Phan was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.