AMY QUYNHPHI PHAN FNP-C
NPI 1053040329
Nurse Practitioner - Family in San Diego, CA
About Amy Quynhphi Phan Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMY QUYNHPHI PHAN FNP-C (NPI 1053040329) is an individual family provider in San Diego, California, licensed in California (95019164) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Amy Quynhphi Phan Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Amy Phan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Marcos, CA 92069
- Reassigned Medicare billing, California enrollment
- 304 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Amy Phan's NPI number?
The NPI number for Amy Phan is 1053040329. It was assigned to this individual provider in the NPPES registry on June 9, 2022.
Where is Amy Phan located?
Amy Phan practices at 5575 Ruffin Rd Ste 100, San Diego, CA 92123. The listed phone number is (858) 277-2744.
What is Amy Phan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Amy Phan enrolled in Medicare?
Yes. Amy Phan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Amy Phan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amy Phan reassigns Medicare benefits to American Current Care Of California, A Medical Corporation (San Marcos, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Phan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Amy Phan was last updated on June 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Amy Quynhphi Phan, FNP-C · NPI 1053040329
Family physician in San Diego, California. Individual provider, active in the CMS NPPES registry since June 9, 2022.
## Identity
- **NPI:** 1053040329 (Entity type: Individual)
- **Enumerated:** June 9, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95019164 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 5575 RUFFIN RD STE 100, San Diego, CA 92123-1361
- **Phone:** (858) 277-2744
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** American Current Care Of California, A Medical Corporation (NPI 1164611174, San Marcos, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** June 9, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1053040329) · Data from the CMS NPPES public registry.