AIVI DOLAN PHUNG PA-C
NPI 1639528110
Physician Assistant in San Diego, CA

Q: What is Aivi Phung's NPI number?

The NPI number for Aivi Phung is 1639528110. It was assigned to this individual provider in the NPPES registry on June 6, 2016.

Q: What is Aivi Phung's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Aivi Phung 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.

Active since June 06, 2016PECOS EnrolledAccepts Medicare Assignment

6973 LINDA VISTA RD, SAN DIEGO, CA 92111(858) 279-0925 Get Directions Write a Review

NPPES record last updated: December 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 4, 2020, May 2, 2019, Apr 15, 2019 and 1 more (4 updates tracked since 2016).

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About Aivi Dolan Phung Pa-c NPPES

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

AIVI DOLAN PHUNG PA-C (NPI 1639528110) is an individual physician assistant in San Diego, California, licensed in California (PA53902) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Loma Linda University School Of Medicine (2016).

NPPES Registry Identity

NPI1639528110

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameAIVI DOLAN PHUNGCredential: PA-C

Location Address6973 LINDA VISTA RDSan Diego, CA 92111-6342

Mailing Address6973 Linda Vista RdSan Diego, CA 92111-6342 · (858) 279-0925 · Fax (858) 633-4680

Phone(858) 279-0925

Sole ProprietorYes

Medical School CMSLoma Linda University School Of MedicineGraduated 2016

Enumeration DateJune 6, 2016

Last NPPES UpdateDecember 22, 20234 updates tracked since enumeration

NPPES CertifiedSeptember 4, 2020

✔ NPI 1639528110 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 · PA53902

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.

6973 LINDA VISTA RD, San Diego, CA 92111

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Secondary Practice Location 1

Location 15575 Ruffin Rd Ste 100San Diego, CA 92123-1361 · Phone (858) 277-2744

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

Aivi Dolan Phung Pa-c 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 ID6709166283

PECOS Enrollment IDI20161130000533

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 92111 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

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.

Referred Medical Equipment & Supplies CMS DME claims

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

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

1 supplier13 claims1,020 services$0.09 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

ROBINA AHMAD MD

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