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

Individual provider Pediatrics Physician · NPI 1063646545

Andrew Phan, MD is a Pediatrics Physician in Sacramento, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1650 Response Rd
Sacramento, CA 95815-4807
Phone: (916) 614-4120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence A107482 (CA)

Record details

NPI number1063646545
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 12, 2009
Last updated in NPPESFebruary 11, 2022

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