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MR. BRANDON PHAN PMHNP
NPI 1831979863
Nurse Practitioner - Psychiatric/Mental Health in Los Gatos, CA

Active since October 05, 2023PECOS EnrolledAccepts Medicare Assignment
61 VICTORY LN STE A, LOS GATOS, CA 95030(408) 363-6533 Get Directions Write a Review

NPPES record last updated: October 19, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 19, 2023, Oct 5, 2023 (2 updates tracked since 2023).

About Mr. Brandon Phan Pmhnp NPPES

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

MR. BRANDON PHAN PMHNP (NPI 1831979863) is an individual psychiatric/mental health provider in Los Gatos, California, licensed in California (95026423) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1831979863
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. BRANDON PHANCredential: PMHNP
Location Address61 VICTORY LN STE ALos Gatos, CA 95030-5920
Mailing Address61 Victory Ln Ste ALos Gatos, CA 95030-5920
Phone(408) 363-6533
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 5, 2023
Last NPPES UpdateOctober 19, 20232 updates tracked since enumeration
NPPES CertifiedOctober 19, 2023
✔ NPI 1831979863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95026423
61 VICTORY LN STE A, Los Gatos, CA 95030
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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. Brandon Phan Pmhnp 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.

PECOS PAC ID5092155366
PECOS Enrollment IDI20240503000454
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Brandon Phan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thinh Duy Mai M.D., A.P.C.
12 mi
Psychiatry
175 N JACKSON AVE, SUITE 209
San Jose, CA 95116
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Thinh Duy Mai MD Apc
  • 6 clinicians in this Medicare group
NPI 1770905945 (408) 210-0304

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 95030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

THINH DUY MAI MD
Psychiatry & Neurology (Psychiatry)
61 VICTORY LN STE A
LOS GATOS, CA 95030
Santa Clara County (408) 363-6533

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 Brandon Phan's NPI number?

The NPI number for Brandon Phan is 1831979863. It was assigned to this individual provider in the NPPES registry on October 5, 2023.

Where is Brandon Phan located?

Brandon Phan practices at 61 Victory Ln Ste A, Los Gatos, CA 95030. The listed phone number is (408) 363-6533.

What is Brandon Phan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Brandon Phan enrolled in Medicare?

Yes. Brandon 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.

Which organization bills Medicare for Brandon Phan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brandon Phan reassigns Medicare benefits to Thinh Duy Mai M.D., A.P.C. (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 Brandon Phan'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 Brandon Phan was last updated on October 19, 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.