BAKHENG PHENG M.D.
NPI 1083932024
Internal Medicine in Los Angeles, CA
About Bakheng Pheng M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BAKHENG PHENG M.D. (NPI 1083932024) is an individual internal medicine provider in Los Angeles, California, licensed in California (A112415) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS and is a graduate of State University Of New York At Buffalo School Of Medicine (2008).
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
Bakheng Pheng M.d. 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 Bakheng Pheng reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Long Beach, CA 90813
- Reassigned Medicare billing, California enrollment
- 37 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 90027 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 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
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 Bakheng Pheng's NPI number?
The NPI number for Bakheng Pheng is 1083932024. It was assigned to this individual provider in the NPPES registry on May 14, 2010.
Where is Bakheng Pheng located?
Bakheng Pheng practices at 4950 W Sunset Blvd Fl 6, Los Angeles, CA 90027. The listed phone number is (323) 783-4892.
What is Bakheng Pheng's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Bakheng Pheng enrolled in Medicare?
Yes. Bakheng Pheng 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 Bakheng Pheng's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bakheng Pheng reassigns Medicare benefits to Community Medical Wellness Centers Usa (Long Beach, 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 Bakheng Pheng'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 Bakheng Pheng was last updated on November 4, 2021. 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.
# Bakheng Pheng, M.D. · NPI 1083932024
Internal Medicine physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since May 14, 2010.
## Identity
- **NPI:** 1083932024 (Entity type: Individual)
- **Enumerated:** May 14, 2010
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** A112415 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4950 W SUNSET BLVD FL 6, Los Angeles, CA 90027-5822
- **Phone:** (323) 783-4892
## 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:** Community Medical Wellness Centers Usa (NPI 1235500513, Long Beach, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York At Buffalo School Of Medicine, class of 2008
## Record status
- **NPPES last updated:** November 4, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1083932024) · Data from the CMS NPPES public registry.