MR. BOPHAL PHEN
NPI 1750443594
Social Worker - Clinical in San Jose, CA
About Mr. Bophal Phen NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. BOPHAL PHEN (NPI 1750443594) is an individual clinical provider in San Jose, California, licensed in California (29401) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2010).
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
Mr. Bophal Phen 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 Bophal Phen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Jose, CA 95112
- Reassigned Medicare billing, California enrollment
- 37 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95112 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.
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 Bophal Phen's NPI number?
The NPI number for Bophal Phen is 1750443594. It was assigned to this individual provider in the NPPES registry on December 15, 2006.
Where is Bophal Phen located?
Bophal Phen practices at 160 E Virginia St #280, San Jose, CA 95112. The listed phone number is (408) 287-6200.
What is Bophal Phen's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Bophal Phen enrolled in Medicare?
Yes. Bophal Phen 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 Bophal Phen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bophal Phen reassigns Medicare benefits to Gardner Family Health Network, Inc. (San Jose, 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 Bophal Phen'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 Bophal Phen was last updated on February 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mr. Bophal Phen · NPI 1750443594
Clinical provider in San Jose, California. Individual provider, active in the CMS NPPES registry since December 15, 2006.
## Identity
- **NPI:** 1750443594 (Entity type: Individual)
- **Enumerated:** December 15, 2006
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 29401 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 160 E VIRGINIA ST, #280, San Jose, CA 95112
- **Phone:** (408) 287-6200 · **Fax:** (408) 998-1535
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Gardner Family Health Network, Inc. (NPI 1699841528, San Jose, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** February 8, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1750443594) · Data from the CMS NPPES public registry.