Kenny Phan, PA-C
NPI 1033931621 · Physician Assistant · Santa Clara, CA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenny Phan, PA-C is a Physician Assistant provider in Santa Clara, CA (NPI 1033931621).
Provider details
- NPI number
- 1033931621
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-10-25
- Last updated
- 2025-11-03
- Certified
- 2025-11-03
Frequently asked questions
- What is Kenny Phan's NPI number?
- Kenny Phan's National Provider Identifier (NPI) is 1033931621, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenny Phan's specialty?
- Kenny Phan is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kenny Phan located?
- Kenny Phan's practice location on file with NPPES is 700 Lawrence Expy, Santa Clara, CA 95051-5173.
- What is Kenny Phan's phone number?
- The practice phone number listed in the NPPES registry for Kenny Phan is (408) 851-1000.
- Does Kenny Phan accept Medicare?
- Kenny Phan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenny Phan's NPI active?
- Yes — Kenny Phan's NPI (1033931621) is active in the NPPES registry as of the last update on 2025-11-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.