Dung My Phan MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A42236 Issued in CA

Legal business name

DUNG MY PHAN MD INC

Practice address

1693 Flanigan Dr
Suite #100
San Jose, CA 95121-1683

Phone

(408) 274-3881

Fax

(408) 274-9053

NPI assigned

May 8, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Dung My Phan, M.D.,NPI 1912013780

Title

President

Phone

(408) 274-3881

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dung My Phan, MD

  • Family Medicine Physician
  • San Jose, CA
  • NPI 1912013780
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1104261700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1693 FLANIGAN DR",
            "address_2": "SUITE #100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211683",
            "telephone_number": "408-274-3881",
            "fax_number": "408-274-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1693 FLANIGAN DR",
            "address_2": "SUITE #100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211683",
            "telephone_number": "408-274-3881",
            "fax_number": "408-274-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNG MY PHAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-08",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "DUNG",
        "authorized_official_middle_name": "MY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-274-3881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A42236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Walter Duncan, D.D.S.
• Jessica Duncan
• Matthew Winfred Duncan, M.D.
• Taylor E Duncan
• Dung and Chau Phan Dental Corp.
• Joan Crisis Dungo, RN
• Debra Anne Dunkley, PT
• Devin Kendal Dunlevy, LCSW
• Jennifer Elizabeth Dunn
• John Thomas Dunn, DDS

• Family Medicine Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.