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

Andrew Phan, DO

Individual provider Family Medicine Physician · NPI 1174107551

Andrew Phan, DO is a Family Practice in Fremont, California. Graduated from Rocky Vista University College of Osteopathic Med in 2021, 5 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Trained at
Rocky Vista University College of Osteopathic Med
Licensed in
CA
In the registry since
2021
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.

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Practice location Address checks out

39400 Paseo Padre Pkwy
Fremont, CA 94538-2310
Phone: (510) 248-3000
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 20A21461 (CA)

Record details

NPI number1174107551
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 11, 2021
Last updated in NPPESAugust 8, 2024
Certification dateAugust 8, 2024
Mailing address4439 Margery Dr, Fremont, CA 94538-2609

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolROCKY VISTA UNIVERSITY COLLEGE OF OSTEOPATHIC MED
Graduated 2021 (5 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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