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GRACE GOTOS PHAN LPT
NPI 1912235276
Licensed Psychiatric Technician in Stockton, CA

Active since November 25, 2009
2812 BREAKER WAY, STOCKTON, CA 95209(209) 351-7132 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 16, 2026, Jun 3, 2021 (2 updates tracked since 2021).

About Grace Gotos Phan Lpt NPPES

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

GRACE GOTOS PHAN LPT (NPI 1912235276) is an individual licensed psychiatric technician in Stockton, California, licensed in California (PT32760) and active in the NPI registry since November 2009.

NPPES Registry Identity

NPI1912235276
Entity TypeIndividualFemale
Primary Taxonomy167G00000X
Provider Legal NameGRACE GOTOS PHANCredential: LPT
Location Address2812 BREAKER WAYStockton, CA 95209-4265
Mailing Address2812 Breaker WayStockton, CA 95209-4265
Phone(209) 351-7132
Sole ProprietorYes
Enumeration DateNovember 25, 2009
Last NPPES UpdateApril 16, 20262 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
✔ NPI 1912235276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers
Taxonomy Code167G00000X
License✔ Licensed in CA · PT32760
Definition
An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.
Also ListedTechnicianTaxonomy 374700000X · License PT32760 (CA)
2812 BREAKER WAY, Stockton, CA 95209
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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 Grace Phan's NPI number?

The NPI number for Grace Phan is 1912235276. It was assigned to this individual provider in the NPPES registry on November 25, 2009.

Where is Grace Phan located?

Grace Phan practices at 2812 Breaker Way, Stockton, CA 95209. The listed phone number is (209) 351-7132.

What is Grace Phan's specialty?

The primary specialty registered for this NPI is Licensed Psychiatric Technician with taxonomy code 167G00000X.

When was this NPI record last updated?

The NPPES record for Grace Phan was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.