DIANA THAO PHAN (NPI# 1932738648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932738648 |
| Entity Type | Individual |
| Full Name | DIANA THAO PHAN |
| Credential | SCM |
| Practice Address |
3075 Health Center Dr San Diego CA 92123-2773 |
| Mailing Address |
12903 Standish Dr Poway CA 92064-5950 |
| Practice Telephone | 8589395218 |
| Mailing Telephone | 8582313151 |
| Enumeration Date | 2020-04-04 |
| Last Update Date | 2020-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170300000X | Genetic Counselor, MS | GC001226 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083128862 | Diana Phan | Case Manager/Care Coordinator | 3929 Rocky River Dr, Cleveland, OH 44111-4153 | 2017-12-01 |
| 1477959963 | Diana Phan | Speech-Language Pathologist | 1111 W 6th St Ste 111, Los Angeles, CA 90017-1823 | 2014-11-10 |
| 1972869311 | Diana T Phan | Anesthesiology | 1740 W Taylor St, 3200w Uih M/c515, Chicago, IL 60612-7232 | 2012-04-10 |
| Street Address |
3075 HEALTH CENTER DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-2773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629046925 | Medical Oncology Associates of San Diego A Medical Group Inc | Internal Medicine | 3075 Health Center Dr, Suite 102, San Diego, CA 92123-2773 | 2006-03-10 |
| 1700485026 | Geraldine Ledesma Robles | Nurse Practitioner | 3075 Health Center Dr, San Diego, CA 92123-2773 | 2020-10-19 |
| 1518313840 | Angelea Marie Bruce | Dietitian, Registered | 3075 Health Center Dr, San Diego, CA 92123-2773 | 2016-05-05 |
| 1235532789 | Robert M. Barone Md A Medical Corporation | Specialist | 3075 Health Center Dr, Suite 102, San Diego, CA 92123-2773 | 2014-09-29 |
| 1619317633 | Patricia Mary Fitzgerald | Registered Nurse | 3075 Health Center Dr, Suite 401, San Diego, CA 92123-2773 | 2013-07-05 |
| 1053645903 | Marc Joseph Verlasky | Nurse Practitioner | 3075 Health Center Dr, San Diego, CA 92123-2773 | 2009-09-24 |
| 1245475474 | Marie Patricia Shieh | Internal Medicine | 3075 Health Center Dr, Suite 102, San Diego, CA 92123-2773 | 2008-12-02 |
| 1710156807 | Jennifer Fisher | Internal Medicine | 3075 Health Center Dr, Suite 102, San Diego, CA 92123-2773 | 2008-02-22 |
| 1558542845 | Kristen N Rice | Internal Medicine | 3075 Health Center Dr, Ste 102, San Diego, CA 92123-2773 | 2007-11-15 |
| 1972714293 | Carolyn Cox | Dietitian, Registered | 3075 Health Center Dr, Suite 101, San Diego, CA 92123-2773 | 2007-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 170300000X |
| Grouping | Other Service Providers |
| Classification | Genetic Counselor, MS |
| A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: National Society of Genetic Counselors [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710288485 | Tara Short | Genetic Counselor, MS | 7910 Frost St Ste 430, San Diego, CA 92123-2795 | 2010-11-10 |
| 1598079071 | Deborah Isabel Thurn Valsassina | Genetic Counselor, MS | 4910 Directors Pl Ste 200, San Diego, CA 92121-3814 | 2010-07-27 |
| 1821029414 | Christina Marie Brock | Genetic Counselor, MS | 9350 Campus Point Dr, 2d, #0996, San Diego, CA 92037-1300 | 2006-07-05 |
| 1811926934 | Jason Chibuk | Genetic Counselor, MS | 4027 Promontory St, San Diego, CA 92109-5335 | 2006-07-01 |
| 1609846526 | Liesl Johnson Mestre | Genetic Counselor, MS | Rady Children's Hospital and Health Center, 3020 Children's Way, Mc 5031, San Diego, CA 92123 | 2006-01-24 |
| 1780662064 | Jaime Marcos Gonzales | Genetic Counselor, MS | 6507 Mission Gorge Rd, San Diego, CA 92120-2306 | 2006-01-06 |
| 1942283999 | Amy Parsons Thomas | Genetic Counselor, MS | 4647 Zion Avenue, Kaiser Permanente Genetic Services, San Diego, CA 92120 | 2005-11-23 |
| 1700344520 | Liana Dayhoff | Genetic Counselor, MS | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2019-03-11 |
| 1790278208 | Diana Jean Mcveigh | Genetic Counselor, MS | 4647 Zion Ave, San Diego, CA 92120-2507 | 2018-06-08 |
| 1356879712 | Dina Green | Genetic Counselor, MS | 4647 Zion Ave, San Diego, CA 92120-2507 | 2017-05-30 |
| Find all providers in SAN DIEGO | ||||
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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.