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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANDREW TJ PHAN

Active

ANDREW TJ PHAN is a Certified Nurse Anesthetist (CRNA) healthcare provider located in SAN LEANDRO, California. NPI 1720693054 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · SAN LEANDRO, CA

Registration Details

NPI Number
1720693054
Provider Type
Individual
Gender
Male
NPI Issued
Sep 14, 2020 (5.9411324396108 yrs)
Last Updated
Apr 6, 2025
Licenses
95035493 (CA)
95001468 (CA)

Practice Information

Address
2500 MERCED ST
SAN LEANDRO, CA, 945774201
Browse CA providers · Browse ZIP 94577
Phone
5104542069
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X

Other Certified Nurse Anesthetist (CRNA) Providers in SAN LEANDRO, CA

Name Credential NPI
MR. JACOB EMMANUEL BAYANI C.R.N.A 1285690446
MR. KEVIN SMITH CRNA 1770532277
BELINDA WILL CRNA 1407807324
MR. PERRY SALES CRNA 1154411692
RAJLAKSHMI MENON CRNA 1770645483
MRS. JACLYN G CHO CRNA 1407919640
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.