Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alexander Phan, DO

Individual provider Addiction Medicine (Family Medicine) Physician · NPI 1750796371

Alexander Phan, DO is a Family Practice in Modesto, California. Qualified in 2014, 12 years ago. Practices with Sutter Valley Medical Foundation, a 2,464-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2014
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1209 Woodrow Ave Ste E
Modesto, CA 95350-1288
Phone: (209) 558-5312
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20A14386 (CA)
Addiction Medicine (Family Medicine) Physician Taxonomy 207QA0401X · Licence 20A14386 (CA)

Record details

NPI number1750796371
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 23, 2014
Last updated in NPPESAugust 31, 2023
Certification dateAugust 31, 2023
Mailing addressPo Box 577197, Modesto, CA 95357-7197

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Sutter Valley Medical Foundation — 2464 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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