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LACIE PHAN
NPI 1194262386
Specialist/Technologist - Athletic Trainer in Martinez, CA

Active since January 25, 2017
4512 ACTRIZ PL, MARTINEZ, CA 94553(909) 244-7891 Get Directions Write a Review

NPPES record last updated: January 25, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lacie Phan NPPES

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

LACIE PHAN (NPI 1194262386) is an individual athletic trainer provider in Martinez, California, licensed in California (BOC194700) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1194262386
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameLACIE PHAN
Location Address4512 ACTRIZ PLMartinez, CA 94553-1459
Mailing Address4512 Actriz PlMartinez, CA 94553-1459
Phone(909) 244-7891
Sole ProprietorYes
Enumeration DateJanuary 25, 2017
✔ NPI 1194262386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in CA · BOC194700
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
4512 ACTRIZ PL, Martinez, CA 94553
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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 Lacie Phan's NPI number?

The NPI number for Lacie Phan is 1194262386. It was assigned to this individual provider in the NPPES registry on January 25, 2017.

Where is Lacie Phan located?

Lacie Phan practices at 4512 Actriz Pl, Martinez, CA 94553. The listed phone number is (909) 244-7891.

What is Lacie Phan's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Lacie Phan was last updated on January 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.