What is Kenneth Phan's NPI number?

Kenneth Phan's National Provider Identifier (NPI) is 1225479371, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kenneth Phan's specialty?

Kenneth Phan is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).

Where is Kenneth Phan located?

Kenneth Phan's practice location on file with NPPES is 2150 Stockton Blvd, Sacramento, CA 95817-1337.

What is Kenneth Phan's phone number?

The practice phone number listed in the NPPES registry for Kenneth Phan is (916) 875-1000.

Is Kenneth Phan's NPI active?

Yes — Kenneth Phan's NPI (1225479371) is active in the NPPES registry as of the last update on 2024-10-08.

IndividualActive

Kenneth Phan

NPI 1225479371 · Community Health Worker · Sacramento, CA

Kenneth Phan is a Community Health Worker provider in Sacramento, CA (NPI 1225479371).

Provider details

NPI number: 1225479371
Entity type: Individual
Primary specialty: Community Health WorkerOther Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Community Health WorkerPrimary172V00000X
Other Service Providers

Profile Score

Established profile(71/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
12 yrs 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

2150 Stockton Blvd

Sacramento, CA 95817-1337

Phone: (916) 875-1000

Fax: (916) 875-1001

Street-level locationGet directions

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Mailing address