NPIMap

Individual provider Active NPI

Christina Phan, PA

  • Physician Assistant
  • Castro Valley, CA
National Provider Identifier
1831668987
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA56836 Issued in CA
Practice address
20642 John Dr
Castro Valley, CA 94546-5103
Phone
(888) 924-1036
NPI assigned
Nov 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA56836 CA Primary

Addresses

Primary practice location

20642 John Dr
Castro Valley, CA 94546-5103

Mailing address

20642 John Dr
Castro Valley, CA 94546-5103
Phone (888) 924-1036

Other practice location 1

1001 S Main St Apt M309
Milpitas, CA 95035-5367
Phone (408) 712-8859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191021001731 CA Practitioner - Physician Assistant 3779815964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Healthcare AllianceGroup PAC ID 6305748799, 334 clinicians

Practice addresses (Care Compare)

1300 Crane St
Menlo Park, CA 94025-4260
Phone (650) 498-6500

15425 Los Gatos Blvd
Suite 120
Los Gatos, CA 95032-2541
Phone (408) 340-5700

50 E Hamilton Ave
Suite 280
Campbell, CA 95008-0273
Phone (408) 227-2646

798 S Winchester Blvd
San Jose, CA 95128-2928
Phone (408) 984-7226

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA56836CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Medical Group Past Accepting new patients
University Healthcare Alliance Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: christina.phan.p1@direct.omnifamilyhealth.nextgenshare.com
  • Direct secure messaging: cphan317392@direct.stanfordhealthcare.org

Organizations & group practices 4

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1831668987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20642 JOHN DR",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465103",
            "telephone_number": "888-924-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20642 JOHN DR",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465103",
            "telephone_number": "888-924-1036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 S Main St Apt M309",
            "address_purpose": "LOCATION",
            "city": "Milpitas",
            "state": "CA",
            "postal_code": "950355367",
            "country_code": "US",
            "telephone_number": "408-712-8859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAN",
        "first_name": "CHRISTINA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-19",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA56836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

Verify at the official NPI Registry.