TUNG PHAN P.A.
NPI 1508130311
Physician Assistant in Los Angeles, CA

Active since February 27, 2012PECOS EnrolledAccepts Medicare Assignment
507 S ATLANTIC BLVD, LOS ANGELES, CA 90022(323) 268-9191(323) 268-9119 Get Directions Write a Review

NPPES record last updated: November 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 23, 2021, Mar 28, 2017 (2 updates tracked since 2017).

About Tung Phan P.a. NPPES

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

TUNG PHAN P.A. (NPI 1508130311) is an individual physician assistant in Los Angeles, California, licensed in California (PA22075) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1508130311
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTUNG PHANCredential: P.A.
Location Address507 S ATLANTIC BLVDLos Angeles, CA 90022-2621
Mailing Address3125 W Anacapa WayAnaheim, CA 92801-6154 · (818) 317-9291
Fax(323) 268-9119
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateFebruary 27, 2012
Last NPPES UpdateNovember 23, 20212 updates tracked since enumeration
NPPES CertifiedNovember 23, 2021
NPI 1508130311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · PA22075
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

507 S ATLANTIC BLVD, Los Angeles, CA 90022

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

Tung Phan P.a. 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 ID5698914752
PECOS Enrollment IDI20130620000582
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90022 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 20

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

Clinic/Center (Rehabilitation, Substance Use Disorder)
507 S ATLANTIC BLVD
LOS ANGELES, CA 90022
Case Management
507 S ATLANTIC BLVD
LOS ANGELES, CA 90022
Clinic/Center (Community Health)
507 S ATLANTIC BLVD
LOS ANGELES, CA 90022
Pediatrics
507 S ATLANTIC BLVD
LOS ANGELES, CA 90022
Registered Nurse
507 S ATLANTIC BLVD
LOS ANGELES, CA 90022
Dental Hygienist
507 S ATLANTIC BLVD
LOS ANGELES, CA 90022
Dental Hygienist
507 S ATLANTIC BLVD
LOS ANGELES, CA 90022
Pediatrics
507 S ATLANTIC BLVD
LOS ANGELES, CA 90022

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 Tung Phan's NPI number?

The NPI number for Tung Phan is 1508130311. It was assigned to this individual provider in the NPPES registry on February 27, 2012.

Where is Tung Phan located?

Tung Phan practices at 507 S Atlantic Blvd, Los Angeles, CA 90022. The listed phone number is (323) 268-9191.

What is Tung Phan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tung Phan enrolled in Medicare?

Yes. Tung 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.

When was this NPI record last updated?

The NPPES record for Tung Phan was last updated on November 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.