Individual provider

Kimberly Phan, M.D.

Student in an Organized Health Care Education/Training Program Medicare enrolled

Kimberly Phan, M.D. is a provider specialising in Student in an Organized Health Care Education/Training Program in Sacramento, CA, registered under NPI 1508176777. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 4860 Y STREET SUITE 3800 UC DAVIS HEALTH SYSTEM, Sacramento, CA 95817. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

4860 Y STREET SUITE 3800 UC DAVIS HEALTH SYSTEM, Sacramento, CA 95817 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Physical Medicine And Rehabilitation
PAC ID
6406141233
Enrollment ID
I20160818001170

Medicare enrolment is recorded as approved under the provider type Practitioner - Physical Medicine And Rehabilitation. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Student in an Organized Health Care Education/Training Program covers

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. NUCC Health Care Provider Taxonomy, code 390200000X
Student, Health Care Student in an Organized Health Care Education/Training Program

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
390200000X Student in an Organized Health Care Education/Training Program
390200000X Student in an Organized Health Care Education/Training Program CA primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1508176777 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateOct 20, 2010
Last updatedFeb 11, 2022
StatusActive
Sole proprietorYes
GenderFemale
CredentialM.D.
Practice address 4860 Y STREET SUITE 3800
UC DAVIS HEALTH SYSTEM
Sacramento, CA 95817
(916) 734-5292
Mailing address 13980 BLOSSOM HILL RD STE B
Los Gatos, CA 95032
Other names Kimberly Yu Former Legal Business Name
The last update on file is Feb 11, 2022. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1508176777 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 5 0 8 1 7 6 7 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 5 0 8 2 7 3 7 5

Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1508176777?
NPI 1508176777 is the National Provider Identifier assigned to Kimberly Phan, M.D. in Sacramento, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Student in an Organized Health Care Education/Training Program cover?
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
How do I contact Kimberly Phan, M.D.?
The phone number on file with NPPES is (916) 734-5292, last updated Feb 11, 2022. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Kimberly Phan, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1508176777 a valid number?
Yes. 1508176777 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.