Laura Phan, MD, Inc

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

A126463 Issued in CA

Legal business name

LAURA PHAN, MD, INC

Practice address

20398 Blauer Dr
Saratoga, CA 95070-4307

Phone

(408) 502-5000

Fax

(408) 502-5505

NPI assigned

Aug 30, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Laura Phan, M.D.NPI 1538366984

Title

President

Phone

(650) 587-5000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 4

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

• Laura T Phan, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Saratoga, CA
  • NPI 1538366984
  Medicare reassignment Authorized official
• Neharika Bhardwaj, MD

  • Rheumatology Physician
  • Santa Cruz, CA
  • NPI 1336609494
  NPD (past)
• Kenya Mills, FNP-C

  • Family Nurse Practitioner
  • Corona, CA
  • NPI 1518642743
  NPD (past)
• Thaila Ramanujam, MD

  • Specialist
  • Santa Cruz, CA
  • NPI 1801999206
  NPD (past)

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1174957765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20398 BLAUER DR",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950704307",
            "telephone_number": "408-502-5000",
            "fax_number": "408-502-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20398 BLAUER DR",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950704307",
            "telephone_number": "408-502-5000",
            "fax_number": "408-502-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA PHAN, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-30",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-587-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "CA",
            "license": "A126463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KT Health Center
• Patricia Deanne Kume, SLP
• Cindy Laprocina, L. AC.
• Larry R Fabian & Jeffrey M Fanelli PTRS Westside Family Vision Center
• Dorothy Ann Larson, PH.D.
• Laura S Crowe DDS Inc
• Frances S. Lee, D.D.S.
• Patricia Yung Lee
• Soonyi Lee
• Leewen Liu.MD. Inc.

• Ophthalmologic Surgery Clinic/Center in Saratoga, CA
• Providers in Saratoga, CA by specialty
• Ophthalmologic Surgery Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.