DAVID PHAK NPI 1366169849

NPI Information

  • NPI: 1366169849
  • Provider Name: DAVID PHAK
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 685 CARNEGIE DR STE 135
    SAN BERNARDINO, CA
    ZIP 92408
  • Phone: (909) 658-7655

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NPI Details

David Phak is a psychiatric/mental health nurse practitioner in San Bernardino, CA. David Phak NPI is 1366169849. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

685 CARNEGIE DR STE 135
SAN BERNARDINO, CA
ZIP 92408-581
Phone: (909) 658-7655

The enumeration date for this NPI number is 10/25/2022 and was last updated on 5/1/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse95066269CALIFORNIANo
2363LP0808XNurse PractitionerPsychiatric/Mental Health95029043CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10000OTHERN/A

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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