CHRISTINE JIA EN PHANG
NPI 1659959898
Student in an Organized Health Care Education/Training Program in Petaluma, CA

Active since March 30, 2021
1500 PETALUMA BLVD S, PETALUMA, CA 94952(707) 765-8488 Get Directions Write a Review

NPPES record last updated: February 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 9, 2022, Mar 30, 2021 (2 updates tracked since 2021).

About Christine Jia En Phang NPPES

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

CHRISTINE JIA EN PHANG (NPI 1659959898) is an individual student in an organized health care education/training program in Petaluma, California and active in the NPI registry since March 2021. She maintains a secondary practice location in San Rafael.

NPPES Registry Identity

NPI1659959898
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCHRISTINE JIA EN PHANG
Location Address1500 PETALUMA BLVD SPetaluma, CA 94952-5545
Mailing Address1050 Court St Apt 306San Rafael, CA 94901-2972 · (412) 539-6047
Sole ProprietorNo
Enumeration DateMarch 30, 2021
Last NPPES UpdateFebruary 9, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2022
NPI 1659959898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1500 PETALUMA BLVD S, Petaluma, CA 94952

Secondary Practice Location 1

Location 11330 Lincoln Ave Ste 201San Rafael, CA 94901-2142 · Phone (415) 459-5999

Other Providers at the Same Location NPPES 20

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

Rehabilitation Practitioner
1500 PETALUMA BLVD S
PETALUMA, CA 94952
Rehabilitation Practitioner
1500 PETALUMA BLVD S
PETALUMA, CA 94952
Community/Behavioral Health
1500 PETALUMA BLVD S
PETALUMA, CA 94952
Day Training/Habilitation Specialist
1500 PETALUMA BLVD S
PETALUMA, CA 94952
Counselor (Mental Health)
1500 PETALUMA BLVD S
PETALUMA, CA 94952
Marriage & Family Therapist
1500 PETALUMA BLVD S
PETALUMA, CA 94952
Marriage & Family Therapist
1500 PETALUMA BLVD S, SUITE A
PETALUMA, CA 94952
Day Training/Habilitation Specialist
1500 PETALUMA BLVD S
PETALUMA, CA 94952

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 Christine Phang's NPI number?

The NPI number for Christine Phang is 1659959898. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Where is Christine Phang located?

Christine Phang practices at 1500 Petaluma Blvd S, Petaluma, CA 94952. The listed phone number is (707) 765-8488.

What is Christine Phang'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 Christine Phang was last updated on February 9, 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.