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

Ismael Pheng

Individual provider Family Nurse Practitioner · NPI 1326906017

Ismael Pheng is a Nurse Practitioner in Long Beach, California. Qualified in 2025, 1 year ago. Practices with Community Medical Wellness Centers USA, a 30-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2026
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Practice location Address checks out

1360 E Anaheim St Ste 101
Long Beach, CA 90813-5515
Phone: (562) 270-0324
Fax: (562) 591-0109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95037892 (CA)

Record details

NPI number1326906017
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 12, 2026
Last updated in NPPESJanuary 12, 2026
Certification dateJanuary 12, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Community Medical Wellness Centers Usa — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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