Dung My Phan MD Inc
NPI 1104261700ActiveOrganization· Family Medicine· San Jose, CA
Family Medicine in San Jose, California, registered in NPPES in May 2013. The authorized official on file is Dung My Phan, M.D.,, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104261700 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 8, 2013 |
| Last updated in NPPES | Feb 19, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | A42236 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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