Anh Tram Phan, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50672 Issued in CA

Practice address

561 Summer Garden Way
Sacramento, CA 95833-1358

Phone

(916) 837-6049

NPI assigned

Nov 22, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Anh Phan DMD PC

  • General Practice Dentistry
  • Citrus Heights, CA
  • NPI 1780521914
  NPD Authorized official

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174698187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 SUMMER GARDEN WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958331358",
            "telephone_number": "916-837-6049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 SUMMER GARDEN WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958331358",
            "telephone_number": "916-837-6049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "ANH",
        "middle_name": "TRAM",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Phan
• An T Phan, MD
• An Thien Phan, M.D.
• Andrew Phan, MD
• Anh Minh Phan, PHARM.D.
• Billy Tri Phan, COUNSELOR
• Chau My Phan, DENTIST
• Chinh Phan, D.O.
• Christina Phan
• Danielle Phan

• General Practice Dentistry in Sacramento, CA
• Providers in Sacramento, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.