Active NPI
Trinh Phan, MS
- Behavior Technician
- Alameda, CA
National Provider Identifier
1083381925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1025 Atlantic Ave Ste 101
Alameda, CA 94501-1188 - Phone
- (510) 268-8120
- NPI assigned
- Aug 27, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | |||
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
1025 Atlantic Ave Ste 101
Alameda, CA 94501-1188
Mailing address
631 River Oaks Pkwy
San Jose, CA 95134-1907
Phone (408) 914-7478
Other practice location 1
631 River Oaks Pkwy
San Jose, CA 95134-1907
Phone (408) 914-7478
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765843200000",
"number": "1083381925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "631 RIVER OAKS PKWY",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951341907",
"telephone_number": "408-914-7478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 ATLANTIC AVE STE 101",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945011188",
"telephone_number": "510-268-8120"
}
],
"practiceLocations": [
{
"address_1": "631 River Oaks Pkwy",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951341907",
"country_code": "US",
"telephone_number": "408-914-7478",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHAN",
"first_name": "TRINH",
"name_prefix": "Miss",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-27",
"last_updated": "2025-12-16",
"certification_date": "2025-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alameda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.