Active NPI
Darlene My Phan
- Community Health Worker
- Newbury Park, CA
National Provider Identifier
1568063725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 661 Clearwater Creek Dr
Newbury Park, CA 91320-4976 - Phone
- (805) 405-8060
- NPI assigned
- Nov 4, 2020
- Last updated
- Nov 4, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
661 Clearwater Creek Dr
Newbury Park, CA 91320-4976
Mailing address
26460 Summit Cir
Santa Clarita, CA 91350-2991
Phone (661) 254-6630
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604448000000",
"number": "1568063725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26460 SUMMIT CIR",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913502991",
"telephone_number": "661-254-6630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "661 CLEARWATER CREEK DR",
"city": "NEWBURY PARK",
"state": "CA",
"postal_code": "913204976",
"telephone_number": "805-405-8060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAN",
"first_name": "DARLENE",
"middle_name": "MY",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-04",
"last_updated": "2020-11-04",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newbury Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.