PHUONG ANH THI LA P.A.-C
NPI 1891865747
Physician Assistant - Medical in Costa Mesa, CA

Active since November 08, 2006PECOS EnrolledAccepts Medicare Assignment
2077 HARBOR BLVD STE 100, COSTA MESA, CA 92627(949) 740-7117(949) 209-3955 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phuong Anh Thi La P.a.-c NPPES

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

PHUONG ANH THI LA P.A.-C (NPI 1891865747) is an individual medical provider in Costa Mesa, California, licensed in California (PA15064) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Hahnemann University College Of Medicine (1999).

NPPES Registry Identity

NPI1891865747
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NamePHUONG ANH THI LACredential: P.A.-C
Location Address2077 HARBOR BLVD STE 100Costa Mesa, CA 92627-9384
Mailing Address2077 Harbor Blvd Ste 100Costa Mesa, CA 92627-9384 · (949) 740-7117 · Fax (949) 209-3955
Fax(949) 209-3955
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 1999
Enumeration DateNovember 8, 2006
Last NPPES UpdateDecember 15, 2025
NPPES CertifiedDecember 15, 2025
NPI 1891865747 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 · PA15064
2077 HARBOR BLVD STE 100, Costa Mesa, CA 92627

Other Names 1

Other Name (5)Anne La P.a.-c

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

Phuong Anh Thi La P.a.-c 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 ID5395816490
PECOS Enrollment IDI20080617000659
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 3

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

Clinic/Center (Urgent Care)
2077 HARBOR BLVD STE 100
COSTA MESA, CA 92627
Pharmacist
2077 HARBOR BLVD STE 100
COSTA MESA, CA 92627
Family Medicine
2077 HARBOR BLVD STE 100
COSTA MESA, CA 92627

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 Phuong Anh La's NPI number?

The NPI number for Phuong Anh La is 1891865747. It was assigned to this individual provider in the NPPES registry on November 8, 2006. The provider is also known as Anne La P.A.-C.

Where is Phuong Anh La located?

Phuong Anh La practices at 2077 Harbor Blvd Ste 100, Costa Mesa, CA 92627. The listed phone number is (949) 740-7117.

What is Phuong Anh La's specialty?

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

Is Phuong Anh La enrolled in Medicare?

Yes. Phuong Anh La 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 Phuong Anh La was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.