Jean-Pierre Phancao, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A97938 Issued in CA

Practice address

500 Redwood Blvd Ste 300
Novato, CA 94947-6921

Phone

(415) 464-8081

NPI assigned

Mar 23, 2007

Last updated

Jun 20, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Jean-Pierre Phan Cao Phai Other name

Medicare fee-for-service enrollment

Enrolled in CA, NJ, HI, WA4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 4

Specialty

Diagnostic Radiology

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Century Imaging LLCGroup PAC ID 4082517370, 61 clinicians

Monterey Spine and Joint PCGroup PAC ID 0840295721, 75 clinicians

Prima Medical FoundationGroup PAC ID 6406040138, 30 clinicians

Proliance Surgeons Inc P SGroup PAC ID 8527972900, 395 clinicians

California Advanced Imaging Medical Associates IncGroup PAC ID 0244144228, 85 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Oklahoma Surgical Hospital, LLC Hospital, Tulsa, OK, CCN 370210
• Marinhealth Medical Center Hospital, Greenbrae, CA, CCN 050360
• Sonoma Valley Hospital Hospital, Sonoma, CA, CCN 050090
• Novato Community Hospital Hospital, Novato, CA, CCN 050131
• Nebraska Orthopaedic Hospital Hospital, Omaha, NE, CCN 280129

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 35)

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/37d0fa6b-e0f7-4581-adbb-f9e2eac855e1/
• FHIR API: https://fhir-myrecord.cerner.com/r4/efffdd49-80a8-4c46-87e6-e53d54707ef3/
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: jean.phancao.p1@direct.msjhealth.nextgenshare.com
• Direct secure messaging: jeanpierre.phancao.p2@direct.proliance.nextgenshare.com
• Direct secure messaging: jeanpierre.phancao.p24@direct.proliance.nextgenshare.com
• Direct secure messaging: jeanpierre.phancao.p73@direct.proliance.nextgenshare.com

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

• Monterey Spine & Joint PC

  • Orthopaedic Surgery Physician
  • Monterey, CA
  • NPI 1881620599
  Medicare reassignment Care Compare group NPD
• Prima Medical Foundation

  • Clinic/Center
  • Novato, CA
  • NPI 1811217946

  HI

  Medicare reassignment Care Compare group NPD
• New Century Imaging LLC

  • Diagnostic Radiology Physician
  • Oradell, NJ
  • NPI 1710909262

  CA

  Medicare reassignment Care Compare group NPD
• Proliance Surgeons Inc P S

  dba Proliance Surgeons Orthopedic Specialists of Seattle

  • Orthopaedic Surgery Physician
  • Seattle, WA
  • NPI 1023170313
  Medicare reassignment Care Compare group NPD
• California Advanced Imaging Medical Associates Inc

  • Diagnostic Radiology Physician
  • San Francisco, CA
  • NPI 1881646909

  HI

  Medicare reassignment Care Compare group
• Salinas Valley Advanced Imaging Center Corporation

  • Radiology Clinic/Center
  • Salinas, CA
  • NPI 1700622586
  Medicare reassignment NPD
• Sutter Valley Medical Foundation

  dba Sutter Gould Medical Foundation

  • Multi-Specialty Clinic/Center
  • Modesto, CA
  • NPI 1669846986

  Diagnostic Radiology

  Medicare reassignment NPD
• Oklahoma Surgical Hospital, LLC

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1487651857

  CA

  Medicare reassignment NPD
• California Pacific Advanced Imaging

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • San Francisco, CA
  • NPI 1912950676

  HI

  Medicare reassignment
• Doctors Resources Company, LLC

  dba University Medical Imaging

  • Diagnostic Radiology Physician
  • Sacramento, CA
  • NPI 1659416907
  NPD
• Monterey Spine & Joint PC

  • Orthopaedic Surgery of the Spine Physician
  • Salinas, CA
  • NPI 1942885835
  NPD
• Sutter Valley Medical Foundation

  • Durable Medical Equipment & Medical Supplies
  • Tracy, CA
  • NPI 1720930712
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Marin General Hospital

  • General Acute Care Hospital
  • Greenbrae, CA
  • NPI 1396725677
  Care Compare affiliation
• Sonoma Valley Health Care District

  dba Sonoma Valley Hospital

  • General Acute Care Hospital
  • Sonoma, CA
  • NPI 1710063870
  Care Compare affiliation
• Sutter Bay Hospitals

  • General Acute Care Hospital
  • Novato, CA
  • NPI 1104059153
  Care Compare affiliation
• Nebraska Orthopaedic Hospital LLC

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1356345318
  Care Compare affiliation
• Oklahoma Surgical Hospital, LLC

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1487651857
  Care Compare affiliation

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1215054416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6102",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949486102",
            "telephone_number": "415-884-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 REDWOOD BLVD STE 300",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949476921",
            "telephone_number": "415-464-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHANCAO",
        "first_name": "JEAN-PIERRE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A97938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0185469",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A979380",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00480244",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN-PIERRE",
            "last_name": "PHAN CAO PHAI",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amy Jean Petersen-Fox
• Jenele Peterson, DPT
• Livia Petronio, MS OTR/L
• Trisha Renee Petticrew, PHARMD
• Theodore Thien Phan
• Pharmaca Integrative Pharmacy, Inc.
• Walter H. Phillips, MFT
• Wendy April Phillips, OTD, OTR/L
• Sorbarikor Piawah, M.D.
• Paula Piccirilli

• Diagnostic Radiology Physician in Novato, CA
• Providers in Novato, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.