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PHUNG PHUN PAC
NPI 1659259463
Physician Assistant in El Monte, CA

Active since August 21, 2025PECOS Enrolled
3229 SANTA ANITA AVE, EL MONTE, CA 91733(626) 575-4584 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phung Phun Pac NPPES

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

PHUNG PHUN PAC (NPI 1659259463) is an individual physician assistant in El Monte, California, licensed in California (PA65900) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1659259463
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NamePHUNG PHUNCredential: PAC
Location Address3229 SANTA ANITA AVEEl Monte, CA 91733-1359
Mailing Address6609 Van Nuys Blvd # 201Van Nuys, CA 91405-4618 · (818) 899-5555
Phone(626) 575-4584
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 21, 2025
NPPES CertifiedAugust 21, 2025
✔ NPI 1659259463 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 · PA65900
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.
3229 SANTA ANITA AVE, El Monte, CA 91733
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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)

Phung Phun Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981176856
PECOS Enrollment IDI20260611004148
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 91733 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 4

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

VAHID MISSAGHI M.D.,
Family Medicine
3229 SANTA ANITA AVE
EL MONTE, CA 91733
Los Angeles County (626) 575-4584
REKHA SACHDEVA M.D; A PROFESSINAL CORPORATION.
Clinic/Center (Primary Care)
3229 SANTA ANITA AVE
EL MONTE, CA 91733
Los Angeles County (626) 459-5420
SYNERGY DENTAL MANAGEMENT, INC
Clinic/Center (Dental)
3229 SANTA ANITA AVE, #B
EL MONTE, CA 91733
Los Angeles County (626) 800-7235
DR. KAMELIA KASHANI DO
Internal Medicine
3229 SANTA ANITA AVE
EL MONTE, CA 91733
Los Angeles County (626) 575-4584

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 Phun's NPI number?

The NPI number for Phung Phun is 1659259463. It was assigned to this individual provider in the NPPES registry on August 21, 2025.

Where is Phung Phun located?

Phung Phun practices at 3229 Santa Anita Ave, El Monte, CA 91733. The listed phone number is (626) 575-4584.

What is Phung Phun's specialty?

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

Is Phung Phun enrolled in Medicare?

Yes. Phung Phun is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Phung Phun was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.