MRS. DUNG MY PHAN MD
NPI 1912013780
Family Medicine in San Jose, CA

Q: What is Dung Phan's NPI number?

The NPI number for Dung Phan is 1912013780. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Q: What is Dung Phan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Dung Phan was last updated on July 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since August 22, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 05D0717291 · Waiver

1693 FLANIGAN DR, #100, SAN JOSE, CA 95121(408) 274-3881(408) 274-9053 Get Directions Write a Review

NPPES record last updated: July 13, 2010. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Mrs. Dung My Phan Md NPPES

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

MRS. DUNG MY PHAN MD (NPI 1912013780) is an individual family medicine provider in San Jose, California, licensed in California (A42236) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through June 26, 2028, and is a graduate of Other (1975).

NPPES Registry Identity

NPI1912013780

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMRS. DUNG MY PHANCredential: MD

Location Address1693 FLANIGAN DR, #100San Jose, CA 95121

Mailing Address1693 Flanigan Dr, #100San Jose, CA 95121 · (408) 274-3881 · Fax (408) 274-9053

Phone(408) 274-3881

Fax(408) 274-9053

Sole ProprietorYes

Medical School CMSOtherGraduated 1975

Enumeration DateAugust 22, 2006

Last NPPES UpdateJuly 13, 2010

✔ NPI 1912013780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A42236

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1693 FLANIGAN DR, San Jose, CA 95121

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Other Identifiers 2

Medicare ID-Type Unspecified00A422360CA

Medicaid00A422360CA

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

Mrs. Dung My Phan Md 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 ID5991829921

PECOS Enrollment IDI20100827000754

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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0717291

Dung My Phan, MD Inc · San Jose, CA

Active · expires Jun 26, 2028

CLIA Number05D0717291

Laboratory TypePhysician Office

Certificate Effective DateJune 27, 2026

Certificate Expiration DateJune 26, 2028

Laboratory DirectorDung M. Phan, MD

Laboratory Phone(408) 274-3881

Laboratory LocationDung My Phan, MD Inc1693 Flanigan Dr Ste 100, San Jose, CA 95121

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

258 services139 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

165 services103 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

140 services91 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

59 services51 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

47 services47 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95121 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 6

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

DUNG MY PHAN MD INC

Family Medicine

1693 FLANIGAN DR, SUITE #100
SAN JOSE, CA 95121

Santa Clara County (408) 274-3881

DR. VAN THI THANH NGUY DDS

Dentist

1693 FLANIGAN DR, #102
SAN JOSE, CA 95121

Santa Clara County (408) 270-4849

DR. SCHAUN CHAN GABUCAN DMD

Dentist

1693 FLANIGAN DR, SUITE 103
SAN JOSE, CA 95121

Santa Clara County (408) 315-1181

PANSMART INC

Pharmacy (Community/Retail Pharmacy)

1693 FLANIGAN DR, 104
SAN JOSE, CA 95121

Santa Clara County (408) 274-6698

DR. AN THI PHAM M.D.

Pediatrics

1693 FLANIGAN DR, SUITE # 101
SAN JOSE, CA 95121

Santa Clara County (408) 274-1339

TULLY CLINIC PHARMACY

Pharmacy (Community/Retail Pharmacy)

1693 FLANIGAN DR, STE 104
SAN JOSE, CA 95121

Santa Clara County (408) 274-6698

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 Dung Phan's NPI number?

The NPI number for Dung Phan is 1912013780. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Dung Phan located?

Dung Phan practices at 1693 Flanigan Dr #100, San Jose, CA 95121. The listed phone number is (408) 274-3881.

What is Dung Phan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dung Phan enrolled in Medicare?

Yes. Dung 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.

Does Dung Phan hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0717291) is associated with this NPI, valid through June 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dung Phan was last updated on July 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.