Active NPI
Hanh Phan Speech & Occupational Therapy Inc.
- Speech-Language Pathologist
- San Jose, CA
National Provider Identifier
1275926727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- HANH PHAN SPEECH & OCCUPATIONAL THERAPY INC.
- Practice address
- 6116 Camino Verde Dr
Suite 11
San Jose, CA 95119-1441 - Phone
- (408) 332-0259
- NPI assigned
- Mar 9, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Hanh Phan, MA, SLP-CCC, OTR-L
- Title
- Ceo & Therapist
- Phone
- (408) 332-0259
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | |||
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
6116 Camino Verde Dr
Suite 11
San Jose, CA 95119-1441
Mailing address
6116 Camino Verde Dr
Suite 11
San Jose, CA 95119-1441
Phone (408) 332-0259
National Provider Directory
National Provider DirectoryLocations
6116 Camino Verde Dr
Ste 11
San Jose, CA 95119
Phone (408) 332-0259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1494115200000",
"number": "1275926727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6116 CAMINO VERDE DR",
"address_2": "SUITE 11",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951191441",
"telephone_number": "408-332-0259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6116 CAMINO VERDE DR",
"address_2": "SUITE 11",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951191441",
"telephone_number": "408-332-0259"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HANH PHAN SPEECH & OCCUPATIONAL THERAPY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-09",
"last_updated": "2017-05-07",
"status": "A",
"authorized_official_last_name": "PHAN",
"authorized_official_first_name": "HANH",
"authorized_official_title_or_position": "CEO & THERAPIST",
"authorized_official_telephone_number": "408-332-0259",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MA, SLP-CCC, OTR-L"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.