Vianne Kim Linh Phan

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

200 S Magnolia Ave
El Cajon, CA 92020-4524

Phone

(310) 945-3350

NPI assigned

Jul 9, 2026

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

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

{
    "created_epoch": "1783555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1497673941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9808 VENICE BLVD STE 700",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902326824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S MAGNOLIA AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920204524",
            "telephone_number": "310-945-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "VIANNE",
        "middle_name": "KIM LINH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-09",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Raad Petros, PHARMD
• Tashia Nicole Petty
• Tatiana Pettye
• Vivian Pettye
• Hang M Pham, PHARMD
• Sarah Pricilla Christine Phares
• Pharm-One, Inc.
• Sara Elizabeth Phegley
• Heidi Beth Philips, LCSW
• Christina Phillips, DACM, LAC

• Rehabilitation Practitioner in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.