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

Brendan Mackenzie Phares

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1942138573

Brendan Mackenzie Phares is a Student in an Organized Health Care Education/Training Program in Davis, California. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1 Shields Ave
Davis, CA 95616-5200
Phone: (530) 752-1011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1942138573
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 13, 2026
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026
Mailing address2519 Vanderbilt Ln Unit 1, Redondo Beach, CA 90278-3472

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