CECILIA PHONG MD
NPI 1114318151
Obstetrics & Gynecology in Upland, CA

Q: What is Cecilia Phong's NPI number?

The NPI number for Cecilia Phong is 1114318151. It was assigned to this individual provider in the NPPES registry on February 12, 2015.

Q: What is Cecilia Phong's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Cecilia Phong was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since February 12, 2015PECOS Enrolled

1310 SAN BERNARDINO RD STE 201, UPLAND, CA 91786(909) 579-0806 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 7, 2024, Dec 14, 2017 (2 updates tracked since 2017).

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About Cecilia Phong Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CECILIA PHONG MD (NPI 1114318151) is an individual obstetrics & gynecology provider in Upland, California, licensed in California (A139142) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114318151

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameCECILIA PHONGCredential: MD

Location Address1310 SAN BERNARDINO RD STE 201Upland, CA 91786-4985

Mailing Address1310 San Bernardino Rd Ste 201Upland, CA 91786-4985 · (909) 579-0806

Phone(909) 579-0806

Sole ProprietorYes

Enumeration DateFebruary 12, 2015

Last NPPES UpdateMay 7, 20242 updates tracked since enumeration

✔ NPI 1114318151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in CA · A139142

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1310 SAN BERNARDINO RD STE 201, Upland, CA 91786

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cecilia Phong Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91786 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$136.04 typical visit price

range $59.60 – $179.42

Typical copayment $34.01 (range $14.90 – $44.85)

Most-billed visit code 99204

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREA STEPHANIE ALVAREZ

Nurse Practitioner (Family)