Oanh T.C Phan, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

41519 Issued in CA

Practice address

3301 E 12TH St
Suite165
Oakland, CA 94601-3424

Phone

(510) 533-5500

Fax

(510) 485-5109

NPI assigned

Aug 16, 2006

Last updated

Jul 8, 2007By 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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: oanh.phan@sjffcc.eclinicaldirectplus.com
• Direct secure messaging: ophan330470@direct.ochin.org

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.

• Brent C. Lin, DDS Inc

  • General Practice Dentistry
  • Oakland, CA
  • NPI 1598135428
  NPD (past)
• F Moftakhar DDS a Professional Corp

  dba Elegant Smiles Dental Center

  • General Practice Dentistry
  • Oakland, CA
  • NPI 1447479555
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972616621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40383 LINARIA CIR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382488",
            "telephone_number": "510-656-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 E 12TH ST",
            "address_2": "SUITE165",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946013424",
            "telephone_number": "510-533-5500",
            "fax_number": "510-485-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "OANH",
        "middle_name": "T.C",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Phan
• Joann Phan
• Julie Phan, PHARMD
• Michelle Phan, R.N., P.H.N, M.S.N.
• Nha Thanh Phan, RN
• Phuong Kim Phan
• Rita Phang, ASW
• Pharmaca Integrative Pharmacy, Inc.
• Rose Panico Phelps, M.S., M.F.T.
• Emily Phenix

• General Practice Dentistry in Oakland, CA
• Providers in Oakland, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.