DOUANGCHAY JUDY PHANGRATH FNP
NPI 1902397045
Nurse Practitioner - Family in Riverside, CA
About Douangchay Judy Phangrath Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOUANGCHAY JUDY PHANGRATH FNP (NPI 1902397045) is an individual family provider in Riverside, California, licensed in California (95009072) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
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
Douangchay Judy Phangrath Fnp 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
3Medicare enrollment records show Douangchay Phangrath reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Riverside, CA 92501
- Reassigned Medicare billing, California enrollment
- 82 clinicians in this Medicare group
Victorville, CA 92395
- Reassigned Medicare billing, California enrollment
- 56 clinicians in this Medicare group
Denver, CO 80202
- Reassigned Medicare billing, Utah enrollment
- 6 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RIVERSIDE, CA 92501
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 Douangchay Phangrath's NPI number?
The NPI number for Douangchay Phangrath is 1902397045. It was assigned to this individual provider in the NPPES registry on May 24, 2018. The provider is also known as Judy Phangrath Np.
Where is Douangchay Phangrath located?
Douangchay Phangrath practices at 4361 Latham St Ste 270, Riverside, CA 92501. The listed phone number is (559) 285-5946.
What is Douangchay Phangrath's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Douangchay Phangrath enrolled in Medicare?
Yes. Douangchay Phangrath 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 Douangchay Phangrath's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Douangchay Phangrath reassigns Medicare benefits to 3 organizations: Nightingale Clinical Care, PC (Riverside, CA), Greater Good Health PC Inc (Victorville, CA) and Villagehealth Dm LLC (Denver, CO). 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 Douangchay Phangrath'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 Douangchay Phangrath was last updated on June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Douangchay Judy Phangrath, FNP · NPI 1902397045
Family physician in Riverside, California. Individual provider, active in the CMS NPPES registry since May 24, 2018.
## Identity
- **NPI:** 1902397045 (Entity type: Individual)
- **Enumerated:** May 24, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95009072 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4361 LATHAM ST STE 270, Riverside, CA 92501-4332
- **Phone:** (559) 285-5946
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Nightingale Clinical Care, PC (NPI 1972159069, Riverside, CA); Greater Good Health PC Inc (NPI 1356211452, Victorville, CA); Villagehealth Dm LLC (NPI 1598273211, Denver, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** June 11, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1902397045) · Data from the CMS NPPES public registry.