THAO HONG PHAN M.D.
NPI 1306849807
Specialist in Union City, CA

Active since May 27, 2005PECOS EnrolledAccepts Medicare Assignment
3553 WHIPPLE RD, UNION CITY, CA 94587(510) 454-1000 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Thao Hong Phan M.d. NPPES

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

THAO HONG PHAN M.D. (NPI 1306849807) is an individual specialist in Union City, California, licensed in California (A90577) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1306849807
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameTHAO HONG PHANCredential: M.D.
Location Address3553 WHIPPLE RDUnion City, CA 94587-1507
Mailing Address3553 Whipple RdUnion City, CA 94587-1507 · (510) 454-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 27, 2005
Last NPPES UpdateDecember 13, 2021
✔ NPI 1306849807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A90577
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3553 WHIPPLE RD, Union City, CA 94587

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thao Hong Phan M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426098542
PECOS Enrollment IDI20050509000569
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Thao Phan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
1190 VETERANS BLVD
Redwood City, CA 94063
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group

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

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.

Internal Medicine
3553 WHIPPLE RD
UNION CITY, CA 94587
Ophthalmology
3553 WHIPPLE RD
UNION CITY, CA 94587
Obstetrics & Gynecology
3553 WHIPPLE RD
UNION CITY, CA 94587
Pharmacist
3553 WHIPPLE RD, 3RD FLOOR, MED STATION #4
UNION CITY, CA 94587
Physical Medicine & Rehabilitation (Neuromuscular Medicine)
3553 WHIPPLE RD
UNION CITY, CA 94587
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3553 WHIPPLE RD
UNION CITY, CA 94587
Nurse Practitioner (Adult Health)
3553 WHIPPLE RD
UNION CITY, CA 94587
Optometrist
3553 WHIPPLE RD
UNION CITY, CA 94587

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 Thao Phan's NPI number?

The NPI number for Thao Phan is 1306849807. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Where is Thao Phan located?

Thao Phan practices at 3553 Whipple Rd, Union City, CA 94587. The listed phone number is (510) 454-1000.

What is Thao Phan's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Thao Phan enrolled in Medicare?

Yes. Thao Phan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Thao Phan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thao Phan reassigns Medicare benefits to Permanente Medical Group Inc (Redwood City, CA). The 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 Thao Phan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Thao Phan was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.