PHUNG PHAN
NPI 1770916413
Counselor - Mental Health in San Mateo, CA

Active since August 16, 2013
2600 S EL CAMINO REAL, SAN MATEO, CA 94403(408) 347-3120(408) 347-3121 Get Directions Write a Review

NPPES record last updated: August 4, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Phung Phan NPPES

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

PHUNG PHAN (NPI 1770916413) is an individual mental health provider in San Mateo, California and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1770916413
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NamePHUNG PHAN
Location Address2600 S EL CAMINO REALSan Mateo, CA 94403-2380
Mailing Address3009 Wall StSan Jose, CA 95111-4601 · (650) 578-8691 · Fax (650) 393-8925
Fax(408) 347-3121
Sole ProprietorNo
Enumeration DateAugust 16, 2013
Last NPPES UpdateAugust 4, 2015
NPI 1770916413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2600 S EL CAMINO REAL, San Mateo, CA 94403

Other Names 1

Other Name (5)Marie Phan

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.

Case Manager/Care Coordinator
2600 S EL CAMINO REAL
SAN MATEO, CA 94403
Counselor (Mental Health)
2600 S EL CAMINO REAL, STE 200
SAN MATEO, CA 94403
Registered Nurse
2600 S EL CAMINO REAL, STE 200
SAN MATEO, CA 94403
Counselor (Addiction (Substance Use Disorder))
2600 S EL CAMINO REAL
SAN MATEO, CA 94403
Counselor (Mental Health)
2600 S EL CAMINO REAL
SAN MATEO, CA 94403
Marriage & Family Therapist
2600 S EL CAMINO REAL, SUITE 200
SAN MATEO, CA 94403
Marriage & Family Therapist
2600 S EL CAMINO REAL, SUITE 200
SAN MATEO, CA 94403
Counselor (Mental Health)
2600 S EL CAMINO REAL, SUITE 200
SAN MATEO, CA 94403

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 Phung Phan's NPI number?

The NPI number for Phung Phan is 1770916413. It was assigned to this individual provider in the NPPES registry on August 16, 2013. The provider is also known as Marie Phan.

Where is Phung Phan located?

Phung Phan practices at 2600 S El Camino Real, San Mateo, CA 94403. The listed phone number is (408) 347-3120.

What is Phung Phan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Phung Phan was last updated on August 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.