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

Phung Ngoc Phan

Individual provider Registered Nurse · NPI 1487152534

Phung Ngoc Phan is a Nurse Practitioner in Anaheim, California. Qualified in 2020, 6 years ago. Practices with Advantage Neuropsychiatric Assoc, a 16-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

1596 W Minerva Ave
Anaheim, CA 92802-1624
Phone: (714) 675-5925
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1501 Hughes Way Ste 150, Long Beach, CA 90810-1878 — (310) 221-6336

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence NP95017548 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95044332 (CA)
Adult Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0809X · Licence 95044332 (CA)

Record details

NPI number1487152534
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 24, 2018
Last updated in NPPESSeptember 10, 2021
Certification dateAugust 25, 2021
Mailing address1596 W Minerva Ave, Anaheim, CA 92802-1624

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Advantage Neuropsychiatric Assoc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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