ALEXANDER PHAN
NPI 1750213633
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since June 02, 2026Accepts Medicare Assignment
1500 SAN PABLO ST, LOS ANGELES, CA 90033(800) 872-2273 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Alexander Phan NPPES

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

ALEXANDER PHAN (NPI 1750213633) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since June 2026. The provider is a graduate of University Of Southern California Keck School Of Medicine (2026).

NPPES Registry Identity

NPI1750213633
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameALEXANDER PHAN
Location Address1500 SAN PABLO STLos Angeles, CA 90033-5313
Mailing Address5532 Castana AveLakewood, CA 90712-1625
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2026
Enumeration DateJune 2, 2026
NPPES CertifiedJune 2, 2026
✔ NPI 1750213633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1500 SAN PABLO ST, Los Angeles, CA 90033

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

Alexander 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 ID1153894118
PECOS Enrollment IDI20260622003671

Medicare Billing Reassignment

Medicare enrollment records show Alexander Phan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
1520 SAN PABLO ST
Los Angeles, CA 90033
  • Reassigned Medicare billing, California enrollment
  • 2,445 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.

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.

Nurse Anesthetist, Certified Registered
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Internal Medicine
1500 SAN PABLO ST, 3 NORTH UNIVERSITY HOSPITAL
LOS ANGELES, CA 90033
Anesthesiology
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Occupational Therapist
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Anesthesiology
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Anesthesiology
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1500 SAN PABLO ST
LOS ANGELES, CA 90033

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 Alexander Phan's NPI number?

The NPI number for Alexander Phan is 1750213633. It was assigned to this individual provider in the NPPES registry on June 2, 2026.

Where is Alexander Phan located?

Alexander Phan practices at 1500 San Pablo St, Los Angeles, CA 90033. The listed phone number is (800) 872-2273.

What is Alexander Phan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Alexander Phan enrolled in Medicare?

Yes. Alexander 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 organization bills Medicare for Alexander Phan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexander Phan reassigns Medicare benefits to Usc Care Medical Group, Inc (Los Angeles, CA). The 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 Alexander 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 Alexander Phan was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.