Active NPI
Arden Amayun Phan, RN
- Registered Nurse
- San Jose, CA
National Provider Identifier
1598522187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 95207578
- Practice address
- 2741 Chopin Ave
San Jose, CA 95122-1310 - Phone
- (408) 230-7679
- Fax
- (669) 766-0080
- NPI assigned
- Mar 1, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 95207578 | CA | |
| Infusion Therapy Registered Nurse | 163WI0500X | 95207578 | CA | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 95207578 | CA | |
| Registered Nurse | 163W00000X | 95207578 | CA | Primary |
Addresses
Primary practice location
2741 Chopin Ave
San Jose, CA 95122-1310
Mailing address
2741 Chopin Ave
San Jose, CA 95122-1310
Phone (408) 230-7679
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95207578 | CA | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hydrafit Wellness, LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709251200000",
"number": "1598522187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2741 CHOPIN AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951221310",
"telephone_number": "408-230-7679",
"fax_number": "669-766-0080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2741 CHOPIN AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951221310",
"telephone_number": "408-230-7679",
"fax_number": "669-766-0080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAN",
"first_name": "ARDEN",
"middle_name": "AMAYUN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-01",
"last_updated": "2024-03-01",
"certification_date": "2024-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "CA",
"license": "95207578",
"primary": false
},
{
"code": "163WI0500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Infusion Therapy",
"state": "CA",
"license": "95207578",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "CA",
"license": "95207578",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95207578",
"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 Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.