Kenny Phan, PA-C - Medicare Physician Assistant in Santa Clara, CA

Kenny Phan, PA-C is a medicare enrolled "Physician Assistant" in Santa Clara, California. He graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Physician Assistant. His current practice location is 700 Lawrence Expy, Santa Clara, California. You can reach out to his office (for appointments etc.) via phone at (408) 851-1000.

Kenny Phan is licensed to practice in California (license number ) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1033931621.

Contact Information

Kenny Phan, PA-C
700 Lawrence Expy,
Santa Clara, CA 95051-5173
(408) 851-1000
Not Available

Map and Direction




Provider's Profile

Full NameKenny Phan
GenderMale
SpecialityPhysician Assistant
Experience2 Years
Location700 Lawrence Expy, Santa Clara, California
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kenny Phan graduated from nursing school in 2024
  NPI Data:
  • NPI Number: 1033931621
  • Provider Enumeration Date: 10/25/2024
  • Last Update Date: 11/03/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0749787059
  • Enrollment ID: I20251010002086

Medical Identifiers

Medical identifiers for Kenny Phan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033931621NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenny Phan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kenny Phan, PA-C
710 Lawrence Expy Dept 348,
Santa Clara, CA 95051-5173

Ph: () -
Kenny Phan, PA-C
700 Lawrence Expy,
Santa Clara, CA 95051-5173

Ph: (408) 851-1000

Reviews and Comments


Physician Assistant Nurses in Santa Clara, CA

Mrs. Khushbu Shrinandkumar Desai, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 4949 Stevens Creek Blvd, Santa Clara, CA 95051
Phone: 408-260-2273    
Hannah Rose Allen,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051
Phone: 408-203-1253    
Kassi Eloranta,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051
Phone: 408-851-1000    
Melanie Lau, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051
Phone: 408-851-4323    
Mrs. Jamie Adiarte, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 710 Lawrence Expy, Dept. 148, Santa Clara, CA 95051
Phone: 408-851-1000    
Mr. John Chul Choi, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 900 Kiely Blvd, Santa Clara, CA 95051
Phone: 408-236-5143    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.