HONG PHAN
NPI 1861288672
Student in an Organized Health Care Education/Training Program in San Francisco, CA

Q: What is Hong Phan's NPI number?

The NPI number for Hong Phan is 1861288672. It was assigned to this individual provider in the NPPES registry on April 17, 2025.

Q: What is Hong Phan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Hong Phan was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since April 17, 2025PECOS Enrolled

1101 VAN NESS AVE # 1120, SAN FRANCISCO, CA 94109(415) 600-3954 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Hong Phan NPPES

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

HONG PHAN (NPI 1861288672) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since April 2025. The provider is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861288672

Entity TypeIndividual

Primary Taxonomy390200000X

Provider Legal NameHONG PHAN

Location Address1101 VAN NESS AVE # 1120San Francisco, CA 94109-6919

Mailing Address1101 Van Ness Ave # 1120San Francisco, CA 94109-6919

Phone(415) 600-3954

Sole ProprietorNo

Enumeration DateApril 17, 2025

NPPES CertifiedApril 17, 2025

✔ NPI 1861288672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

1101 VAN NESS AVE # 1120, San Francisco, CA 94109

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hong Phan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

TANNER FREDIANI MD

Student in an Organized Health Care Education/Training Program