KHANH PHAN
NPI 1619530912
Occupational Therapist in Los Gatos, CA
About Khanh Phan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KHANH PHAN (NPI 1619530912) is an individual occupational therapist in Los Gatos, California, licensed in California (25744) and active in the NPI registry since April 2019. He is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
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
Khanh Phan 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.
Medicare Billing Reassignment
Medicare enrollment records show Khanh Phan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Gatos, CA 95032
- Reassigned Medicare billing, California enrollment
- 3 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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Khanh Phan's NPI number?
The NPI number for Khanh Phan is 1619530912. It was assigned to this individual provider in the NPPES registry on April 22, 2019.
Where is Khanh Phan located?
Khanh Phan practices at 114 Royce St Ste E, Los Gatos, CA 95030. The listed phone number is (408) 358-1460.
What is Khanh Phan's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Khanh Phan enrolled in Medicare?
Yes. Khanh 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 Khanh Phan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Khanh Phan reassigns Medicare benefits to Los Gatos Hand Therapy, LLC (Los Gatos, 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 Khanh 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 Khanh Phan was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.