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KIMBERLY YU PHAN M.D.
NPI 1508176777
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since October 20, 2010PECOS Enrolled
4860 Y STREET SUITE 3800, UC DAVIS HEALTH SYSTEM, SACRAMENTO, CA 95817(916) 734-5292 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 11, 2022, Jul 12, 2016 (2 updates tracked since 2016).

About Kimberly Yu Phan M.d. NPPES

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

KIMBERLY YU PHAN M.D. (NPI 1508176777) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508176777
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKIMBERLY YU PHANCredential: M.D.
Location Address4860 Y STREET SUITE 3800, UC DAVIS HEALTH SYSTEMSacramento, CA 95817
Mailing Address13980 Blossom Hill Rd, Ste BLos Gatos, CA 95032-5121 · (408) 445-8400 · Fax (408) 445-0875
Phone(916) 734-5292
Sole ProprietorYes
Enumeration DateOctober 20, 2010
Last NPPES UpdateFebruary 11, 20222 updates tracked since enumeration
✔ NPI 1508176777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4860 Y STREET SUITE 3800, Sacramento, CA 95817
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Other Names 1

Former Name (1)Kimberly Po Yu M.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Yu Phan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Kimberly Phan's NPI number?

The NPI number for Kimberly Phan is 1508176777. It was assigned to this individual provider in the NPPES registry on October 20, 2010. The provider is also known as Kimberly PO Yu M.D..

Where is Kimberly Phan located?

Kimberly Phan practices at 4860 Y Street Suite 3800 Uc Davis Health System, Sacramento, CA 95817. The listed phone number is (916) 734-5292.

What is Kimberly Phan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kimberly Phan enrolled in Medicare?

Yes. Kimberly Phan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Phan was last updated on February 11, 2022. 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.