TAI THIEN PHUNG PMHNP
NPI 1760098032
Nurse Practitioner in Rosemead, CA

Active since September 21, 2020PECOS EnrolledAccepts Medicare Assignment
9353 VALLEY BLVD, ROSEMEAD, CA 91770(626) 287-2988 Get Directions Write a Review

NPPES record last updated: March 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 20, 2021, Sep 21, 2020 (2 updates tracked since 2020).

About Tai Thien Phung Pmhnp NPPES

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

TAI THIEN PHUNG PMHNP (NPI 1760098032) is an individual nurse practitioner in Rosemead, California, licensed in California (NP95019571) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Pasadena, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1760098032
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameTAI THIEN PHUNGCredential: PMHNP
Location Address9353 VALLEY BLVDRosemead, CA 91770-1923
Mailing Address9353 Valley BlvdRosemead, CA 91770-1923 · (626) 287-2988
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 21, 2020
Last NPPES UpdateMarch 16, 20222 updates tracked since enumeration
NPPES CertifiedMarch 16, 2022
NPI 1760098032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in CA · NP95019571
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 780978 (CA)
9353 VALLEY BLVD, Rosemead, CA 91770

Secondary Practice Location 1

Location 11020 S Arroyo PkwyPasadena, CA 91105-3911 · Phone (626) 403-2794

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tai Thien Phung Pmhnp 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 ID8325412216
PECOS Enrollment IDI20230315002630
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 91770 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
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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.

Rehabilitation Practitioner
9353 VALLEY BLVD
ROSEMEAD, CA 91770
Counselor (Mental Health)
9353 VALLEY BLVD
ROSEMEAD, CA 91770
Case Manager/Care Coordinator
9353 VALLEY BLVD
ROSEMEAD, CA 91770
Counselor (Professional)
9353 VALLEY BLVD
ROSEMEAD, CA 91770
Student in an Organized Health Care Education/Training Program
9353 VALLEY BLVD
ROSEMEAD, CA 91770
Counselor (Mental Health)
9353 VALLEY BLVD
ROSEMEAD, CA 91770
Marriage & Family Therapist
9353 VALLEY BLVD
ROSEMEAD, CA 91770
Marriage & Family Therapist
9353 VALLEY BLVD
ROSEMEAD, CA 91770

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 Tai Phung's NPI number?

The NPI number for Tai Phung is 1760098032. It was assigned to this individual provider in the NPPES registry on September 21, 2020.

Where is Tai Phung located?

Tai Phung practices at 9353 Valley Blvd, Rosemead, CA 91770. The listed phone number is (626) 287-2988.

What is Tai Phung's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Tai Phung enrolled in Medicare?

Yes. Tai Phung 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.

When was this NPI record last updated?

The NPPES record for Tai Phung was last updated on March 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.