BAO PHAN ATC
NPI 1477248789
Specialist/Technologist - Athletic Trainer in San Diego, CA

Active since April 11, 2023
2335 CHATSWORTH BLVD, SAN DIEGO, CA 92106(202) 603-4768(202) 603-4768 Get Directions Write a Review

NPPES record last updated: December 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bao Phan Atc NPPES

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

BAO PHAN ATC (NPI 1477248789) is an individual athletic trainer provider in San Diego, California and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1477248789
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameBAO PHANCredential: ATC
Location Address2335 CHATSWORTH BLVDSan Diego, CA 92106-1646
Mailing Address4205 45th St Apt 1San Diego, CA 92115-4808 · (202) 603-4768 · Fax (202) 603-4768
Fax(202) 603-4768
Sole ProprietorNo
Enumeration DateApril 11, 2023
Last NPPES UpdateDecember 28, 2023
NPPES CertifiedDecember 28, 2023
NPI 1477248789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
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.
2335 CHATSWORTH BLVD, San Diego, CA 92106

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 Bao Phan's NPI number?

The NPI number for Bao Phan is 1477248789. It was assigned to this individual provider in the NPPES registry on April 11, 2023.

Where is Bao Phan located?

Bao Phan practices at 2335 Chatsworth Blvd, San Diego, CA 92106. The listed phone number is (202) 603-4768.

What is Bao 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 Bao Phan was last updated on December 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.