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

Ricky Nguyen Phan, ACNP

Individual provider Acute Care Nurse Practitioner · NPI 1740700350

Ricky Nguyen Phan, ACNP is a Nurse Practitioner in Garden Grove, California. Qualified in 2019, 7 years ago. Practices with Bel Air Critical Care Medical Group Inc, an 11-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2017
What do these letters mean?
ACNP — Acute Care Nurse Practitioner
A nurse practitioner who treats acutely ill patients, usually in hospital.

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Practice location Address checks out

13591 Bowen St
Garden Grove, CA 92843-3223
Phone: (714) 261-7813
Fax: (714) 261-7813
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 95006779 (CA)

Record details

NPI number1740700350
Entity typeIndividual (Type 1)
GenderMale
Credentials ACNP
Sole proprietorYes
NPI enumeratedJune 24, 2017
Last updated in NPPESNovember 29, 2017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Bel Air Critical Care Medical Group Inc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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