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

Khanh Phan

Individual provider Occupational Therapist · NPI 1619530912

Khanh Phan is an Occupational Therapist in Private Practice in Los Gatos, California. Qualified in 2023, 3 years ago. Practices with Los Gatos Hand Therapy LLC, a 3-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2019
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

114 Royce St Ste E
Los Gatos, CA 95030-6041
Phone: (408) 358-1460
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 25744 (CA)

Record details

NPI number1619530912
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 22, 2019
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Los Gatos Hand Therapy Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Los Gatos