KELLY PHAN
NPI 1316601396
Nurse Practitioner - Family in Milpitas, CA

Active since October 26, 2021
1313 N MILPITAS BLVD STE 265, MILPITAS, CA 95035(408) 770-9480 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kelly Phan NPPES

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

KELLY PHAN (NPI 1316601396) is an individual family provider in Milpitas, California, licensed in California (95018604) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1316601396
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY PHAN
Location Address1313 N MILPITAS BLVD STE 265Milpitas, CA 95035-3190
Mailing Address401 Puerto PlHayward, CA 94541-7301 · (510) 499-1832
Sole ProprietorNo
Enumeration DateOctober 26, 2021
Last NPPES UpdateNovember 29, 2021
NPPES CertifiedNovember 15, 2021
NPI 1316601396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95018604
1313 N MILPITAS BLVD STE 265, Milpitas, CA 95035

Other Providers at the Same Location NPPES 9

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

Physician Assistant
1313 N MILPITAS BLVD STE 265
MILPITAS, CA 95035
Hospitalist
1313 N MILPITAS BLVD STE 265
MILPITAS, CA 95035
Nurse Practitioner (Family)
1313 N MILPITAS BLVD STE 265
MILPITAS, CA 95035
Nurse Practitioner (Family)
1313 N MILPITAS BLVD STE 265
MILPITAS, CA 95035
Nurse Practitioner (Family)
1313 N MILPITAS BLVD STE 265
MILPITAS, CA 95035
Nurse Practitioner (Family)
1313 N MILPITAS BLVD STE 265
MILPITAS, CA 95035
Physician Assistant
1313 N MILPITAS BLVD STE 265
MILPITAS, CA 95035
Social Worker (Clinical)
1313 N MILPITAS BLVD STE 265
MILPITAS, CA 95035

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 Kelly Phan's NPI number?

The NPI number for Kelly Phan is 1316601396. It was assigned to this individual provider in the NPPES registry on October 26, 2021.

Where is Kelly Phan located?

Kelly Phan practices at 1313 N Milpitas Blvd Ste 265, Milpitas, CA 95035. The listed phone number is (408) 770-9480.

What is Kelly Phan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kelly Phan was last updated on November 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.