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

Ethan T Phan, MD

Individual provider Hospitalist Physician · NPI 1083076947

Ethan T Phan, MD is an Internal Medicine in Sacramento, California. Graduated from Louisiana State University School of Medicine in New Orleans in 2016, 10 years ago. Practices with Dignity Health Medical Foundation, a 1,204-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
CA
In the registry since
2016
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

3000 Q St Fl 3
Sacramento, CA 95816-7058
Phone: (916) 733-3400
Fax: (916) 733-5940
Show map & directions

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

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence A170167 (CA)

Record details

NPI number1083076947
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2016
Last updated in NPPESDecember 12, 2024
Certification dateDecember 12, 2024

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 2016 (10 years in practice)
Group practice Dignity Health Medical Foundation — 1204 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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