Active NPI
Tuan Phan
- Social Worker
- San Jose, CA
National Provider Identifier
1730752239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ACSW124132
- Practice address
- 97 E Brokaw Rd Ste 150
San Jose, CA 95112-4221 - Phone
- (408) 464-3632
- NPI assigned
- Jul 21, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | ACSW124132 | CA | Primary |
Addresses
Primary practice location
97 E Brokaw Rd Ste 150
San Jose, CA 95112-4221
Mailing address
97 E Brokaw Rd Ste 150
San Jose, CA 95112-4221
Phone (408) 464-3632
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACSW124132 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Research Foundation Inc | Past | 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.
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1952328700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771891200000",
"number": "1730752239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97 E BROKAW RD STE 150",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951124221",
"telephone_number": "408-464-3632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "97 E BROKAW RD STE 150",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951124221",
"telephone_number": "408-464-3632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAN",
"first_name": "TUAN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-21",
"last_updated": "2026-02-24",
"certification_date": "2026-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ACSW124132",
"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 Feb 24, 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.