Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: 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.

Q: What is Phuong Anh La's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Phuong Anh La was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.

Active since November 08, 2006PECOS EnrolledAccepts Medicare Assignment

4646 BROCKTON AVE STE 101, RIVERSIDE, CA 92506(951) 774-2860(951) 774-2861 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 24, 2026, Dec 15, 2025 (2 updates tracked since 2025).

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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 Riverside, 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 Address4646 BROCKTON AVE STE 101Riverside, CA 92506-0103

Mailing Address4646 Brockton Ave Ste 101Riverside, CA 92506-0103 · (951) 774-2860 · Fax (951) 774-2861

Phone(951) 774-2860

Fax(951) 774-2861

Sole ProprietorNo

Medical School CMSHahnemann University College Of MedicineGraduated 1999

Enumeration DateNovember 8, 2006

Last NPPES UpdateAugust 24, 20262 updates tracked since enumeration

NPPES CertifiedAugust 24, 2026

✔ 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

4646 BROCKTON AVE STE 101, Riverside, CA 92506

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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 6

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

KIMBERLY JO SAVAGE FNP-C

Nurse Practitioner (Family)