BAO PHAN ATC NPI 1477248789

NPI Information

  • NPI: 1477248789
  • Provider Name: BAO PHAN, ATC
  • Classification: Specialist/Technologist - 2255A2300X
  • Specialization: Athletic Trainer
  • Entity Type: Individual
  • Address: 2335 CHATSWORTH BLVD
    SAN DIEGO, CA
    ZIP 92106
  • Phone: (202) 603-4768

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NPI Details

Bao Phan, ATC is an athletic trainer specialist technologist in San Diego, CA. The provider is athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. Bao Phan, ATC NPI is 1477248789. 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:

2335 CHATSWORTH BLVD
SAN DIEGO, CA
ZIP 92106-646
Phone: (202) 603-4768
Fax: (202) 603-4768

The enumeration date for this NPI number is 4/11/2023 and was last updated on 12/28/2023.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
22255A2300XSpecialist/TechnologistAthletic TrainerYes

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

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