DR. JACKIE PHAN (NPI# 1225277817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225277817 |
| Entity Type | Individual |
| Full Name | DR. JACKIE PHAN |
| Credential | M.D. |
| Practice Address |
1900 Sullivan Ave Daly City CA 94015-2200 |
| Practice Telephone | 6509916816 |
| Mailing Telephone | 6509916816 |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2013-05-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | A109180 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1900 SULLIVAN AVE |
| City | DALY CITY |
| State | CA |
| Zip Code | 94015-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619968021 | Darby Annette Clayson | Internal Medicine | 1900 Sullivan Ave, Lower Level, Daly City, CA 94015 | 2005-11-03 |
| 1548875198 | Contra Costa Pathology Associates | Pathology | 1900 Sullivan Ave, Daly City, CA 94015-2200 | 2020-09-10 |
| 1841809415 | Ahmc Seton Medical Center LLC | General Acute Care Hospital | 1900 Sullivan Ave, Daly City, CA 94015-2200 | 2020-07-29 |
| 1386252112 | Ahmc Seton Medical Center LLC | General Acute Care Hospital | 1900 Sullivan Ave, Daly City, CA 94015-2200 | 2020-07-17 |
| 1639797855 | Ahmc Seton Medical Center LLC | General Acute Care Hospital | 1900 Sullivan Ave, Daly City, CA 94015-2200 | 2020-07-14 |
| 1023636545 | Ahmc Seton Medical Center LLC | General Acute Care Hospital | 1900 Sullivan Ave, Daly City, CA 94015-2200 | 2020-07-10 |
| 1205456514 | Fanny Albano | Occupational Therapist | 1900 Sullivan Ave, Daly City, CA 94015-2200 | 2020-04-17 |
| 1851926455 | Christine Wong | Speech-Language Pathologist | 1900 Sullivan Ave, Daly City, CA 94015-2229 | 2020-03-04 |
| 1982245585 | Galen Inpatient Physicians Inc. | Internal Medicine | 1900 Sullivan Ave, Daly City, CA 94015-2200 | 2019-10-04 |
| 1336780931 | Cep America - Intensivists PC | Internal Medicine | 1900 Sullivan Ave, Daly City, CA 94015-2200 | 2019-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881235901 | Fast Express Ride Inc | Non-emergency Medical Transport (VAN) | 381 Westlake Ctr # 292, Daly City, CA 94015 | 2019-09-30 |
| 1598231888 | National Vision Inc | Technician/Technologist | 148a Serramonte Center, Daly City, CA 94015 | 2018-10-15 |
| 1174017313 | Glaiza Cecilia S Canares | Student in an Organized Health Care Education/Training Program | 255 Dennis Drive, Daly City, CA 94015 | 2018-06-20 |
| 1154869477 | Noah Bautista | Massage Therapist | 151 87th St Suite 4, Daly City, CA 94015 | 2017-02-07 |
| 1417387291 | Accuquest Hearing Centers | Clinic/Center | 10 Park Plaza Dr., Daly City, CA 94015 | 2013-11-15 |
| 1801193800 | Carol Crane | Physical Therapy Assistant | 333 Gellert Dr., Suite 150, Supplemental Health Care, Daly City, CA 94015 | 2011-02-28 |
| 1366753808 | Emerito Cesar C Nunag | Physical Therapy Assistant | 595 Clarinada Avenue #2, Daly City, CA 94015 | 2010-06-30 |
| 1356668016 | Lauren Rose Hendrick | Marriage & Family Therapist | 355 Gellert Blvd Suite 280, Daly City, CA 94015 | 2010-04-21 |
| 1205061868 | Isabel A. Walsh | General Practice | 783 Skyline Dr., Daly City, CA 94015 | 2009-05-26 |
| 1790933539 | Frank Geoffrey Yeh | Dentist | 1440 Southgate Ave., Daly City, CA 94015 | 2008-09-05 |
| Find all providers in zip 94015 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457473266 | Linda Rose Mignano | Anesthesiology | 1900 Sullivan, Seton Medical Center Dept of Anesthesia, Daly City, CA 94015 | 2007-04-04 |
| 1922071539 | Jennifer Reodica | Anesthesiology | 901 Campus Drive, Suite 102, Daly City, CA 94015-4930 | 2006-02-13 |
| 1639524309 | Anesthesia Care Consultants, Inc | Anesthesiology | 1900 Sullivan Ave, Daly City, CA 94015-2200 | 2016-04-29 |
| 1356613087 | Peninsula Anesthesia Consultants Inc | Anesthesiology | 1900 Sullivan Ave, Daly City, CA 94015-2200 | 2012-01-26 |
| 1992018477 | Eric Samuel Bringhurst | Anesthesiology | 901 Campus Drive, Suite 102, Daly City, CA 94015-4930 | 2010-07-26 |
| 1649406141 | Tomalika Ahsan Paik | Anesthesiology | 901 Campus Drive, Suite 102, Daly City, CA 94015-4930 | 2009-06-10 |
| 1497913735 | Chika Pamella Udoh-esomonu | Anesthesiology | 901 Campus Drive, Suite 102, Daly City, CA 94015-4930 | 2008-05-22 |
| 1548303654 | Matthew John Garced | Anesthesiology | 1900 Sullivan Ave, Daly City, CA 94015-2200 | 2007-02-15 |
| 1295807949 | Nuzhat S. Zaidi | Anesthesiology | 901 Campus Drive, Suite 102, Daly City, CA 94015-4930 | 2006-11-15 |
| 1093893901 | Sunil K Rohira | Anesthesiology | 901 Campus Dr, Suite 102, Daly City, CA 94015-4900 | 2006-11-01 |
| Find all providers in DALY CITY | ||||
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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.