Organization Active NPI

Phan Chiropractic

  • Health Maintenance Organization
  • San Jose, CA
National Provider Identifier
1093073462
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
DC29087 Issued in CA
Legal business name
PHAN CHIROPRACTIC
Practice address
2470 Alvin Ave.
Suite 30
San Jose, CA 95121-1664
Phone
(408) 528-9000
Fax
(408) 528-9008
NPI assigned
Apr 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Authorized official

Name
Dr. Gia-Hung Long Phan, D.C
Title
Doctor/Owner
Phone
(408) 528-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X DC29087 CA Primary

Addresses

Primary practice location

2470 Alvin Ave.
Suite 30
San Jose, CA 95121-1664

Mailing address

2470 Alvin Ave
Suite 30
San Jose, CA 95121-1664
Phone (408) 528-9000

National Provider Directory

National Provider Directory

Locations

2470 Alvin Ave
Ste 30
San Jose, CA 95121
Phone (408) 528-9000

NPI Registry JSON

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1093073462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 ALVIN AVE",
            "address_2": "SUITE 30",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211664",
            "telephone_number": "408-528-9000",
            "fax_number": "408-528-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 ALVIN AVE.",
            "address_2": "SUITE 30",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211664",
            "telephone_number": "408-528-9000",
            "fax_number": "408-528-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHAN CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "GIA-HUNG",
        "authorized_official_middle_name": "LONG",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "408-528-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "DC29087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 24, 2012; 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.