JEANINE PHAN (NPI# 1083994487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083994487 |
| Entity Type | Individual |
| Full Name | JEANINE PHAN |
| Credential | D.O. |
| Practice Address |
275 Hospital Pkwy Suite 325 San Jose CA 95119-1106 |
| Practice Telephone | 4089723000 |
| Mailing Telephone | 4089723000 |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2016-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
20A12447 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
275 HOSPITAL PKWY SUITE 325 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95119-1106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871562454 | Ann Marie Martin | Physical Therapist | 275 Hospital Pkwy, Ste. 765, San Jose, CA 95119-1106 | 2006-03-16 |
| 1144834615 | Godwin K Yeung | Respiratory Therapist, Registered | 275 Hospital Pkwy, San Jose, CA 95119-1106 | 2020-09-02 |
| 1508477183 | Yvonne Ha Pham | Pharmacist | 275 Hospital Pkwy, San Jose, CA 95119-1106 | 2020-08-16 |
| 1013547264 | Sirena O Louie | Pharmacist | 275 Hospital Pkwy, San Jose, CA 95119-1106 | 2020-01-16 |
| 1205475811 | Ryan Matthew Hoh | Pharmacist | 275 Hospital Pkwy, San Jose, CA 95119-1106 | 2019-12-30 |
| 1033685318 | Vy Le | Pharmacist | 275 Hospital Pkwy, San Jose, CA 95119-1106 | 2018-10-15 |
| 1790261097 | Mina Tran Nguyen | Audiologist | 275 Hospital Pkwy, San Jose, CA 95119-1106 | 2018-07-19 |
| 1821583543 | Cory Ng | Pharmacist | 275 Hospital Pkwy, San Jose, CA 95119-1106 | 2018-06-25 |
| 1750892238 | Henock Woldu | Pharmacist | 275 Hospital Pkwy, San Jose, CA 95119-1106 | 2017-10-24 |
| 1548770266 | Leona Zhu | Pharmacist | 275 Hospital Pkwy, San Jose, CA 95119-1106 | 2017-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623594 | Julia Angelina Rojas | Rehabilitation Counselor | 298 A Bernal Rd, San Jose, CA 95119 | 2020-06-10 |
| 1609496215 | Kaiser Foundation Hospitals | Pharmacy | 274 International Cir Fl 1 Rm 104, San Jose, CA 95119 | 2020-04-23 |
| 1104451194 | Arthur Warren Hall | Counselor | 298 A Bernal Road, San Jose, CA 95119 | 2020-03-10 |
| 1992264774 | Jennifer Luu | Student in an Organized Health Care Education/Training Program | 276 International Circle Building, 1 - 2nd Floor - Family Medicine Residency Unit G, San Jose, CA 95119 | 2019-03-19 |
| 1194209510 | Victoria Marques | Pharmacist | 275 Hospital Parkway, Suite 625, San Jose, CA 95119 | 2018-09-21 |
| 1780123497 | Costco Wholesale Corporation | Hearing Aid Equipment | 6898 Raleigh Road, San Jose, CA 95119 | 2017-02-14 |
| 1437563855 | Mark Douglas Zukunft | Emergency Medicine | 250 Hospital Pkwy Dept Of, San Jose, CA 95119 | 2014-06-13 |
| 1669896338 | Paul J. Zuchowski Chiropractic, A Professional Corporation | Chiropractor | 6950 Santa Teresa Blvd., Ste.a, San Jose, CA 95119 | 2014-02-14 |
| 1700227873 | Yu-chien Cheng | Internal Medicine | 275 Hospital Pkwy Ste 600, San Jose, CA 95119 | 2013-07-17 |
| 1730432014 | Tami Otomo | Pharmacist | 6201 San Ignacio Ave, San Jose, CA 95119 | 2012-10-24 |
| Find all providers in zip 95119 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427103746 | One Stop Medical Group,inc. | Family Medicine | 2179 Tully Rd, San Jose, CA 95122-1346 | 2007-01-25 |
| 1689656886 | Patel Medical Corporation | Family Medicine | 200 Jose Figueres Ave Ste 340, Ste 210, San Jose, CA 95116-1590 | 2005-11-15 |
| 1396037545 | Alex A Mirabadi | Family Medicine | 299 Stockton Ave, San Jose, CA 95126-2763 | 2011-05-06 |
| 1215237276 | Rakhi Yadav | Family Medicine | 455 Oconnor Dr, Suite 300, San Jose, CA 95128-1633 | 2010-10-25 |
| 1538245105 | Frances Sun | Family Medicine | 455 Oconnor Dr, Ste 210, San Jose, CA 95128-1633 | 2006-10-27 |
| 1295720613 | Alfonso F Banuelos | Family Medicine | 751 S Bascom Ave, Hospital Administration, San Jose, CA 95128-2604 | 2005-09-12 |
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|---|---|---|---|---|
| 1013516996 | Natasha Harmis | Family Medicine | 1608 Lawndale Rd, El Cajon, CA 92019-3776 | 2020-10-21 |
| 1073135406 | California Gerontology Clinic | Family Medicine | 1042 S Kingsley Dr Ste 3, Los Angeles, CA 90006-2408 | 2020-05-07 |
| 1225657331 | Samantha Lillian Escalera | Family Medicine | 9608 Planter St, Pico Rivera, CA 90660-4743 | 2020-04-09 |
| 1164058897 | Amani A Osman | Family Medicine | 9753 Holder St, Cypress, CA 90630-4004 | 2020-03-13 |
| 1396378980 | David F Shirley M D P C | Family Medicine | 4001 Impala Circle, Roseville, CA 95678 | 2020-02-21 |
| 1013549914 | Vertini Medical Group Inc | Family Medicine | 1001 W Carson St Ste S, Torrance, CA 90502-2051 | 2020-02-07 |
| 1295297463 | Cedars Family Medicine Inc | Family Medicine | 18021 Sky Park Cir Ste G, Irvine, CA 92614-6569 | 2019-04-04 |
| 1811455967 | Hope Geriatric Medical Center Inc | Family Medicine | 9 Coursan, Laguna Niguel, CA 92677-8902 | 2019-03-07 |
| 1245702174 | Jonah Medical Group Inc | Family Medicine | 20627 Golden Springs Dr Ste D, Walnut, CA 91789-4814 | 2018-12-17 |
| 1104392885 | Wilshire Connected Care | Family Medicine | 277 South St Ste S, San Luis Obispo, CA 93401-5039 | 2018-10-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.