DAVID PHAK PMHNP-BC
NPI 1366169849
Nurse Practitioner - Psychiatric/Mental Health in Burbank, CA
About David Phak Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID PHAK PMHNP-BC (NPI 1366169849) is an individual psychiatric/mental health provider in Burbank, California, licensed in California (95029043) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Bernardino, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
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
David Phak Pmhnp-bc 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 David Phak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Scottsdale, AZ 85253
- Reassigned Medicare billing, California enrollment
- 766 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 91505 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BURBANK, CA 91505
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 David Phak's NPI number?
The NPI number for David Phak is 1366169849. It was assigned to this individual provider in the NPPES registry on October 25, 2022.
Where is David Phak located?
David Phak practices at 191 S Buena Vista St Ste 300, Burbank, CA 91505. The listed phone number is (925) 282-1778.
What is David Phak's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is David Phak enrolled in Medicare?
Yes. David Phak 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 David Phak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Phak reassigns Medicare benefits to Pacific Coast Psychiatric Associates Inc (Scottsdale, AZ). 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 David Phak'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 David Phak was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# David Phak, PMHNP-BC · NPI 1366169849
Psychiatric/Mental Health physician in Burbank, California. Individual provider, active in the CMS NPPES registry since October 25, 2022.
## Identity
- **NPI:** 1366169849 (Entity type: Individual)
- **Enumerated:** October 25, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95029043 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 191 S BUENA VISTA ST STE 300, Burbank, CA 91505-4556
- **Phone:** (925) 282-1778
## 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:** Pacific Coast Psychiatric Associates Inc (NPI 1023125465, Scottsdale, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** January 20, 2026
- **Other identifiers:** Other 0000
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Source: [NPI Profile](https://npiprofile.com/npi/1366169849) · Data from the CMS NPPES public registry.