Diana Thao Phan, SCM

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

GC001226 Issued in CA

Practice address

3075 Health Center Dr
San Diego, CA 92123-2773

Phone

(858) 939-5218

NPI assigned

Apr 4, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1585958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1932738648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12903 STANDISH DR",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920645950",
            "telephone_number": "858-231-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 HEALTH CENTER DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232773",
            "telephone_number": "858-939-5218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "DIANA",
        "middle_name": "THAO",
        "credential": "SCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-04",
        "last_updated": "2023-11-27",
        "certification_date": "2020-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "CA",
            "license": "GC001226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "diana.phan@sharp.com",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "Sharp Memorial Hospital",
            "address_1": "3075 Health Center Dr",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921232773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bao Phan, ATC
• Christina Phan, PHARMD
• Cindy Mai Phan
• Corrine Thanh Ngoc Phan, LCSW
• Diana Elizabeth Phan, ND
• Diane Vu Phan, PT, DPT
• Diann Thuy Duong Phan, RN
• Dung Ngoc Phan, R.PH.
• Helena Phan
• Hy Phan, M.D.

• Genetic Counselor (M.S.) in San Diego, CA
• Providers in San Diego, CA by specialty
• Genetic Counselor (M.S.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.