BRENDAN MACKENZIE PHARES
NPI 1942138573
Student in an Organized Health Care Education/Training Program in Davis, CA

Active since May 13, 2026
1 SHIELDS AVE, DAVIS, CA 95616(530) 752-1011 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brendan Mackenzie Phares NPPES

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

BRENDAN MACKENZIE PHARES (NPI 1942138573) is an individual student in an organized health care education/training program in Davis, California and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1942138573
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRENDAN MACKENZIE PHARES
Location Address1 SHIELDS AVEDavis, CA 95616-5200
Mailing Address2519 Vanderbilt Ln Unit 1Redondo Beach, CA 90278-3472 · (951) 427-0160
Sole ProprietorNo
Enumeration DateMay 13, 2026
NPPES CertifiedMay 13, 2026
NPI 1942138573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1 SHIELDS AVE, Davis, CA 95616

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.

Specialist
1 SHIELDS AVE
DAVIS, CA 95616
Counselor (Mental Health)
1 SHIELDS AVE
DAVIS, CA 95616
Psychologist (Counseling)
1 SHIELDS AVE, CAPS, 219 NORTH HALL, UNIVERSITY OF CALIFORNIA, DAVIS
DAVIS, CA 95616
Dietitian, Registered (Nutrition, Sports Dietetics)
1 SHIELDS AVE
DAVIS, CA 95616
Psychologist (Counseling)
1 SHIELDS AVE, STUDENT HEALTH & COUNSELING SERVICES - UC DAVIS
DAVIS, CA 95616
Pediatrics (Sports Medicine)
1 SHIELDS AVE
DAVIS, CA 95616
Clinic/Center (Student Health)
1 SHIELDS AVE, SHCS
DAVIS, CA 95616
Psychologist (Counseling)
1 SHIELDS AVE
DAVIS, CA 95616

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 Brendan Phares's NPI number?

The NPI number for Brendan Phares is 1942138573. It was assigned to this individual provider in the NPPES registry on May 13, 2026.

Where is Brendan Phares located?

Brendan Phares practices at 1 Shields Ave, Davis, CA 95616. The listed phone number is (530) 752-1011.

What is Brendan Phares's specialty?

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

When was this NPI record last updated?

The NPPES record for Brendan Phares was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.