RICKY NGUYEN PHAN ACNP
NPI 1740700350
Nurse Practitioner - Acute Care in Garden Grove, CA
About Ricky Nguyen Phan Acnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RICKY NGUYEN PHAN ACNP (NPI 1740700350) is an individual acute care provider in Garden Grove, California, licensed in California (95006779) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Ricky Nguyen Phan Acnp 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.
Medicare Billing Reassignments
5Medicare enrollment records show Ricky Phan reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lynwood, CA 90262
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Meher F Tabatabai M D Inc
- 8 clinicians in this Medicare group
Arcadia, CA 91007
- Reassigned Medicare billing, California enrollment
- 39 clinicians in this Medicare group
Los Angeles, CA 90015
- Reassigned Medicare billing, California enrollment
- 51 clinicians in this Medicare group
Glendale, CA 91204
- Reassigned Medicare billing, California enrollment
- 61 clinicians in this Medicare group
Burbank, CA 91505
- Reassigned Medicare billing, California enrollment
- 13 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92843 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Ricky Phan's NPI number?
The NPI number for Ricky Phan is 1740700350. It was assigned to this individual provider in the NPPES registry on June 24, 2017. The provider is also known as Nguyen Hong Phan.
Where is Ricky Phan located?
Ricky Phan practices at 13591 Bowen St, Garden Grove, CA 92843. The listed phone number is (714) 261-7813.
What is Ricky Phan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Ricky Phan enrolled in Medicare?
Yes. Ricky 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 Ricky Phan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ricky Phan reassigns Medicare benefits to 5 organizations: Meher F Tabatabai MD Inc (Lynwood, CA), Arcadia Intensivist Group, Inc. (Arcadia, CA), Bel Air Critical Care Medical Group, Inc. (Los Angeles, CA), Willow Brook Critical Care Medical Group, Inc (Glendale, CA) and St. Joseph Intensivist Group, Inc. (Burbank, 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 Ricky 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 Ricky Phan was last updated on November 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Ricky Nguyen Phan, ACNP · NPI 1740700350
Acute Care physician in Garden Grove, California. Individual provider, active in the CMS NPPES registry since June 24, 2017.
## Identity
- **NPI:** 1740700350 (Entity type: Individual)
- **Enumerated:** June 24, 2017
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 95006779 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 13591 BOWEN ST, Garden Grove, CA 92843-3223
- **Phone:** (714) 261-7813 · **Fax:** (714) 261-7813
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Meher F Tabatabai MD Inc (NPI 1104095942, Lynwood, CA); Arcadia Intensivist Group, Inc. (NPI 1598361669, Arcadia, CA); Bel Air Critical Care Medical Group, Inc. (NPI 1396268041, Los Angeles, CA); Willow Brook Critical Care Medical Group, Inc (NPI 1811520224, Glendale, CA); St. Joseph Intensivist Group, Inc. (NPI 1801302484, Burbank, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** November 29, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1740700350) · Data from the CMS NPPES public registry.