Active NPI
Chinh Phan, D.O.
- Critical Care Medicine (Internal Medicine) Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 20A11954
- Practice address
- 2279 45TH St
Sacramento, CA 95817-1514 - Phone
- (916) 734-5959
- NPI assigned
- Jun 3, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 20A11954 | CA | |
| Internal Medicine Physician | 207R00000X | 20A11954 | CA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 20A11954 | CA | Primary |
Addresses
Primary practice location
2279 45TH St
Sacramento, CA 95817-1514
Mailing address
2279 45TH St
Sacramento, CA 95817-1514
Phone (916) 734-5959
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2825 J St
Sacramento, CA 95816-4300
Phone (916) 734-7844
Hospital & facility affiliations
- University of California Davis Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.15 of 100
- Quality
- 64.8
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.65
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A11954 | CA | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the Univ of Ca | Pulmonary Disease | Current | Accepting new patients |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients |
Locations
2279 45th St
Sacramento, CA 95817
Phone (916) 734-5959
4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700
2825 J St
Ste 400
Sacramento, CA 95816
Phone (916) 734-0779
4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313
2825 J St
Sacramento, CA 95816
Phone (916) 734-0779
Organizations & group practices 3
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.
-
- Maternal & Fetal Medicine Physician
- Sacramento, CA
- NPI 1013906973
-
- Pulmonary Disease Physician
- Sacramento, CA
- NPI 1437142692
-
- Diagnostic Radiology Physician
- Sacramento, CA
- NPI 1477546406
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1710918545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537315200000",
"number": "1881820876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2279 45TH ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958171514",
"telephone_number": "916-734-5959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2279 45TH ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958171514",
"telephone_number": "916-734-5959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAN",
"first_name": "CHINH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-03",
"last_updated": "2018-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "20A11954",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "20A11954",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "20A11954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.