Individual provider Active NPI

Bich-Hanh Phan, MA, SLP-CCC, OTR-L

  • Speech-Language Pathologist
  • San Jose, CA
National Provider Identifier
1083944417
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP11287 Issued in CA
Practice address
3150 Almaden Expy
Suite 235
San Jose, CA 95118-1200
Phone
(408) 332-0259
NPI assigned
Jan 7, 2010
Last updated
Mar 11, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT3036 CA
Speech-Language Pathologist 235Z00000X SP11287 CA Primary

Addresses

Primary practice location

3150 Almaden Expy
Suite 235
San Jose, CA 95118-1200

Mailing address

3150 Almaden Expy
Suite 235
San Jose, CA 95118-1200
Phone (408) 332-0259

Other names 1

  • Mrs. Hanh Phan Professional name

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 Arts

State licenses

LicenseStateTypeSpecialty
OT3036CAMDPediatric Occupational Therapist
SP11287CAMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1083944417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 ALMADEN EXPY",
            "address_2": "SUITE 235",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951181200",
            "telephone_number": "408-332-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 ALMADEN EXPY",
            "address_2": "SUITE 235",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951181200",
            "telephone_number": "408-332-0259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "BICH-HANH",
        "name_prefix": "Mrs.",
        "credential": "MA, SLP-CCC, OTR-L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-07",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "OT3036",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP11287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANH",
            "last_name": "PHAN",
            "prefix": "MRS.",
            "credential": "MA, SLP-CCC, OTR-L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.