PHUNG NIM DO
NPI 1235660937
Student in an Organized Health Care Education/Training Program in Riverside, CA

Active since March 23, 2017PECOS EnrolledAccepts Medicare Assignment
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505(951) 353-2000 Get Directions Write a Review

NPPES record last updated: December 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 16, 2017, Mar 23, 2017 (2 updates tracked since 2017).

About Phung Nim Do NPPES

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

PHUNG NIM DO (NPI 1235660937) is an individual student in an organized health care education/training program in Riverside, California and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1235660937
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NamePHUNG NIMCredential: DO
Location Address10800 MAGNOLIA AVERiverside, CA 92505-3043
Mailing Address10800 Magnolia AveRiverside, CA 92505-3043
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 23, 2017
Last NPPES UpdateDecember 22, 20232 updates tracked since enumeration
NPI 1235660937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
10800 MAGNOLIA AVE, Riverside, CA 92505

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Phung Nim Do 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.

PECOS PAC ID1557784337
PECOS Enrollment IDI20200713001660
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers22 claims64 services$5.57 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers17 claims25 services$0.72 avg. paid by Medicare
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
1 supplier12 claims12 services$126.35 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

General Acute Care Hospital
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505
Physician Assistant
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505
Surgery
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505
Internal Medicine (Critical Care Medicine)
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505
Family Medicine
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505
Internal Medicine
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505
Thoracic Surgery (Cardiothoracic Vascular Surgery)
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505
Nurse Practitioner
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505

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 Phung Nim's NPI number?

The NPI number for Phung Nim is 1235660937. It was assigned to this individual provider in the NPPES registry on March 23, 2017.

Where is Phung Nim located?

Phung Nim practices at 10800 Magnolia Ave, Riverside, CA 92505. The listed phone number is (951) 353-2000.

What is Phung Nim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Phung Nim enrolled in Medicare?

Yes. Phung Nim 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.

When was this NPI record last updated?

The NPPES record for Phung Nim was last updated on December 22, 2023. 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.