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HOANG-LAN PHAN
NPI 1710875554
Nurse Practitioner - Family in Pacific Grove, CA

Active since June 27, 2025PECOS EnrolledAccepts Medicare Assignment
1120 FOREST AVE # 138, PACIFIC GROVE, CA 93950(831) 200-9651 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 29, 2026, Jun 27, 2025 (2 updates tracked since 2025).

About Hoang-lan Phan NPPES

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

HOANG-LAN PHAN (NPI 1710875554) is an individual family provider in Pacific Grove, California, licensed in California (95036308) and active in the NPI registry since June 2025. The provider is enrolled in Medicare PECOS, maintains a secondary practice location in Gilroy, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1710875554
Entity TypeIndividual
Primary Taxonomy363LF0000X
Provider Legal NameHOANG-LAN PHAN
Location Address1120 FOREST AVE # 138Pacific Grove, CA 93950-5105
Mailing Address1120 Forest Ave # 138Pacific Grove, CA 93950-5105 · (831) 200-9651
Phone(831) 200-9651
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 27, 2025
Last NPPES UpdateApril 29, 20262 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1710875554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95036308
Also ListedRegistered NurseTaxonomy 163W00000X · License 95159511 (CA)
1120 FOREST AVE # 138, Pacific Grove, CA 93950
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Secondary Practice Location 1

Location 18170 Murray AveGilroy, CA 95020-4605 · Phone (408) 842-9311

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

Hoang-lan Phan 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 ID5698279883
PECOS Enrollment IDI20250919002061
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Hoang-lan Phan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Solomon Medical Inc
1.1 mi
Psychiatry
1501 SKYLINE DR
Monterey, CA 93940
  • Reassigned Medicare billing, California enrollment
  • 32 clinicians in this Medicare group
NPI 1275106502 (831) 402-8728
Solomon Physicians Group PC
1.1 mi
Internal Medicine
1501 SKYLINE DR
Monterey, CA 93940
  • Reassigned Medicare billing, California enrollment
  • 22 clinicians in this Medicare group
NPI 1114809423 (831) 200-9651

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 93950 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
$94.44 typical visit price
range $61.69 – $184.30
Typical copayment $23.61 (range $15.42 – $46.07)
Most-billed visit code 99203
Established Patient
$108.04 typical visit price
range $20.34 – $151.02
Typical copayment $27.01 (range $5.08 – $37.75)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Hoang-lan Phan's NPI number?

The NPI number for Hoang-lan Phan is 1710875554. It was assigned to this individual provider in the NPPES registry on June 27, 2025.

Where is Hoang-lan Phan located?

Hoang-lan Phan practices at 1120 Forest Ave # 138, Pacific Grove, CA 93950. The listed phone number is (831) 200-9651.

What is Hoang-lan Phan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Hoang-lan Phan enrolled in Medicare?

Yes. Hoang-lan 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.

Which organizations bill Medicare for Hoang-lan Phan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hoang-lan Phan reassigns Medicare benefits to 2 organizations: Solomon Medical Inc (Monterey, CA) and Solomon Physicians Group PC (Monterey, CA). Each 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 Hoang-lan Phan'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 Hoang-lan Phan was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.