Billy Tri Phan, COUNSELOR

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1267760917 Issued in CA

Practice address

7225 E Southgate Dr Ste D
Sacramento, CA 95823-2651

Phone

(916) 394-1000

Fax

(916) 394-1010

NPI assigned

Oct 3, 2017

Sex

Male

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

State licenses

Practice roles

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.

• Treatment Associates Inc

  • Public Health or Welfare Agency
  • Sacramento, CA
  • NPI 1780028019
  NPD (past)
• Treatment Associates, Inc.

  • Methadone Clinic
  • Sacramento, CA
  • NPI 1831109735
  NPD (past)

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506988800000",
    "number": "1780194977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7912 SYMINGTON WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958291470",
            "telephone_number": "916-690-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7225 E SOUTHGATE DR STE D",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232651",
            "telephone_number": "916-394-1000",
            "fax_number": "916-394-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "BILLY",
        "middle_name": "TRI",
        "credential": "COUNSELOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-03",
        "last_updated": "2017-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1267760917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• An T Phan, MD
• An Thien Phan, M.D.
• Andrew Phan, MD
• Anh Minh Phan, PHARM.D.
• Anh Tram Phan, DMD
• Chau My Phan, DENTIST
• Chinh Phan, D.O.
• Christina Phan
• Danielle Phan
• Ethan T Phan, MD

• Addiction (Substance Use Disorder) Counselor in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.

Verify at the official NPI Registry.