DIEN PHUNG PA-C
NPI 1699582411
Physician Assistant - Medical in Sacramento, CA

Q: What is Dien Phung's NPI number?

The NPI number for Dien Phung is 1699582411. It was assigned to this individual provider in the NPPES registry on December 16, 2024.

Q: What is Dien Phung's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Dien Phung was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since December 16, 2024PECOS Enrolled

3030 EXPLORER DR, SACRAMENTO, CA 95827(916) 642-1867(844) 491-6066 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 5, 2026, Dec 16, 2024 (2 updates tracked since 2024).

On this page

About Dien Phung Pa-c NPPES

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

DIEN PHUNG PA-C (NPI 1699582411) is an individual medical provider in Sacramento, California, licensed in California (PA67244) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699582411

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameDIEN PHUNGCredential: PA-C

Location Address3030 EXPLORER DRSacramento, CA 95827-2728

Mailing Address3030 Explorer DrSacramento, CA 95827-2728 · (916) 642-1867 · Fax (844) 491-6066

Phone(916) 642-1867

Fax(844) 491-6066

Sole ProprietorNo

Enumeration DateDecember 16, 2024

Last NPPES UpdateJune 5, 20262 updates tracked since enumeration

NPPES CertifiedJune 5, 2026

✔ NPI 1699582411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · PA67244

3030 EXPLORER DR, Sacramento, CA 95827

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dien Phung Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 14

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

HOJUN PARK DDS

Dentist (General Practice)