Active NPI
Emily Phan
- Social Worker
- Rosemead, CA
National Provider Identifier
1124840384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ASW123662
- Practice address
- 9353 Valley Blvd # C
Rosemead, CA 91770-1923 - Phone
- (626) 287-2988
- NPI assigned
- Oct 29, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | ASW123662 | CA | Primary |
Addresses
Primary practice location
9353 Valley Blvd # C
Rosemead, CA 91770-1923
Mailing address
700 E Birch St Unit 1772
Brea, CA 92822-2083
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW123662 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1124840384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 E BIRCH ST UNIT 1772",
"city": "BREA",
"state": "CA",
"postal_code": "928222083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9353 VALLEY BLVD # C",
"city": "ROSEMEAD",
"state": "CA",
"postal_code": "917701923",
"telephone_number": "626-287-2988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAN",
"first_name": "EMILY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-29",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW123662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rosemead, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.