Thuy Thi Phan

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

License

95005987 Issued in CA

Practice address

520 9TH St Ste 240
Sacramento, CA 95814-1327

Phone

(800) 991-6147

NPI assigned

Sep 21, 2017

Last updated

Apr 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Snowline Hospice of El Dorado CountyGroup PAC ID 8820905854, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Snowline Hospice of El Dorado County

  dba Snowline Health

  • Community Based Hospice Care Agency
  • Diamond Springs, CA
  • NPI 1366449951
  Medicare reassignment Care Compare group NPD
• Nightingale Clinical Care, PC

  • Primary Care Clinic/Center
  • Riverside, CA
  • NPI 1972159069
  Medicare reassignment NPD
• Otashe Golden, MD, Inc.

  • Family Medicine Physician
  • Elk Grove, CA
  • NPI 1912165598
  Medicare reassignment NPD
• Snowline Eldercare PC

  dba Snowline Eldercare

  • Geriatric Medicine (Internal Medicine) Physician
  • Diamond Springs, CA
  • NPI 1649094582
  NPD
• Total Renal Care Inc

  dba Kelley Corners Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lake City, SC
  • NPI 1598204802
  NPD (past)

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1881103976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8284 WYANDOTTE CT",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956244129",
            "telephone_number": "916-607-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 9TH ST STE 240",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958141327",
            "telephone_number": "800-991-6147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "THUY",
        "middle_name": "THI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-21",
        "last_updated": "2024-04-17",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "95005987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Phan
• Nga Thi Phan, RBT
• No Melinda Phan
• Rin Long Phan
• Steven Phan, DDS
• Tiffany Phan
• Vinh Dinh Phan, DDS
• Vu Minh Phan, PHARM.D.
• Vu Thi Thuy Phan
• Marquetta Danielle Phanor

• Hospice and Palliative Medicine (Internal Medicine) Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.