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

Tanya Phan

Individual provider Registered Nurse · NPI 1427512714

Tanya Phan is a Nurse Practitioner in Mountain View, California. Qualified in 2019, 7 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

701 E El Camino Real
Mountain View, CA 94040-2833
Phone: (650) 934-7575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95013764 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95159814 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 95013764 (CA)

Record details

NPI number1427512714
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 30, 2019
Last updated in NPPESApril 7, 2023
Certification dateApril 7, 2023
Mailing address325 Distel Cir, Los Altos, CA 94022-1408

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Sutter Bay Medical Foundation — 3762 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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