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

Dr. Martin Phan, MD

Individual provider Electroneurodiagnostic Specialist/Technologist · NPI 1063994879

Dr. Martin Phan, MD is an Electroneurodiagnostic Specialist/Technologist in San Jose, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2018
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

2995 Edison Dr
San Jose, CA 95133-2412
Phone: (408) 515-9029
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Electroneurodiagnostic Specialist/Technologist (primary) Taxonomy 246ZE0600X · Licence 3442 (CA)

Record details

NPI number1063994879
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 29, 2018
Last updated in NPPESAugust 29, 2018
Mailing address2995 Edison Dr, San Jose, CA 95133-2412

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