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PHUONG KIM PHAN
NPI 1619825395
Student in an Organized Health Care Education/Training Program in Oakland, CA

Active since March 19, 2026
2468 63RD AVE, OAKLAND, CA 94605(510) 857-7299 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phuong Kim Phan NPPES

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

PHUONG KIM PHAN (NPI 1619825395) is an individual student in an organized health care education/training program in Oakland, California, licensed in California (51056) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1619825395
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NamePHUONG KIM PHAN
Location Address2468 63RD AVEOakland, CA 94605-1411
Mailing Address2468 63rd AveOakland, CA 94605-1411 · (510) 857-7299
Phone(510) 857-7299
Sole ProprietorNo
Enumeration DateMarch 19, 2026
NPPES CertifiedMarch 19, 2026
✔ NPI 1619825395 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
License✔ Licensed in CA · 51056
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.
2468 63RD AVE, Oakland, CA 94605
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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 Phuong Phan's NPI number?

The NPI number for Phuong Phan is 1619825395. It was assigned to this individual provider in the NPPES registry on March 19, 2026.

Where is Phuong Phan located?

Phuong Phan practices at 2468 63rd Ave, Oakland, CA 94605. The listed phone number is (510) 857-7299.

What is Phuong Phan's specialty?

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

When was this NPI record last updated?

The NPPES record for Phuong Phan was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.