ANDREW TJ PHAN
NPI 1720693054
Nurse Anesthetist, Certified Registered in San Leandro, CA
About Andrew Tj Phan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREW TJ PHAN (NPI 1720693054) is an individual nurse anesthetist, certified registered in San Leandro, California, licensed in California (95001468) and active in the NPI registry since September 2020. He is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Andrew Tj 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94577 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAN LEANDRO, CA 94577
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 Andrew Phan's NPI number?
The NPI number for Andrew Phan is 1720693054. It was assigned to this individual provider in the NPPES registry on September 14, 2020.
Where is Andrew Phan located?
Andrew Phan practices at 2500 Merced St, San Leandro, CA 94577. The listed phone number is (510) 454-2069.
What is Andrew Phan's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Andrew Phan enrolled in Medicare?
Yes. Andrew 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.
When was this NPI record last updated?
The NPPES record for Andrew Phan was last updated on April 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.