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

Douglas M Phan, MD

Individual provider Otolaryngology Physician · NPI 1013073766

Douglas M Phan, MD is an Otolaryngology in Modesto, California. Graduated from Stanford University School of Medicine in 1982, 44 years ago. Practices with Advanced Surgical Associates, a 6-clinician group and works from 2 locations. Licensed in California.

Years since qualifying
44
Trained at
Stanford University School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1541 Florida Ave Ste 304
Modesto, CA 95350-4439
Phone: (209) 577-3388
Fax: (209) 521-3262
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 927 Broadway St, Quincy, IL 62301-2719 — (217) 223-8400

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence G51181 (CA)

Record details

NPI number1013073766
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 28, 2006
Last updated in NPPESJanuary 16, 2019
Mailing address927 Broadway St, Suite 322, Quincy, IL 62301-2719

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolSTANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated 1982 (44 years in practice)
Group practice Advanced Surgical Associates — 6 clinicians
Accepts Medicare assignment Not indicated

Other providers in Modesto