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KENNETH PHONG NP
NPI 1942740899
Nurse Practitioner - Family in Los Angeles, CA

Active since February 26, 2017PECOS Enrolled
757 WESTWOOD PLZ, LOS ANGELES, CA 90095(310) 825-6301(310) 825-7473 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 27, 2017, Feb 26, 2017 (2 updates tracked since 2017).

About Kenneth Phong Np NPPES

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

KENNETH PHONG NP (NPI 1942740899) is an individual family provider in Los Angeles, California, licensed in California (95006058) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1942740899
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameKENNETH PHONGCredential: NP
Location Address757 WESTWOOD PLZLos Angeles, CA 90095-8358
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Phone(310) 825-6301
Fax(310) 825-7473
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 26, 2017
Last NPPES UpdateOctober 29, 20252 updates tracked since enumeration
NPPES CertifiedOctober 29, 2025
✔ NPI 1942740899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95006058
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License 95006058 (CA)
757 WESTWOOD PLZ, Los Angeles, CA 90095
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth Phong Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618242520
PECOS Enrollment IDI20251024003488
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 90095 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.

CATHERINE CHA MD
Anesthesiology
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 825-8041
DR. TIFFANY PRUGPICHAILERS PEDIGO M.D.
Pediatrics
757 WESTWOOD PLZ, B711 RRUMC
LOS ANGELES, CA 90095
Los Angeles County (310) 267-9129
SAMRAWIT ABRAHA
Anesthesiology
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 267-6629
KEN DEKITANI
Internal Medicine
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 267-7849
LAUREN M NESI
Urology
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 794-7700
JACQUELINE LABINS MD
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 267-0903
JYODI DINESH MOHOLE MD
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 267-9132
JASON THAMES HUYNH MD
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 825-7375

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 Kenneth Phong's NPI number?

The NPI number for Kenneth Phong is 1942740899. It was assigned to this individual provider in the NPPES registry on February 26, 2017.

Where is Kenneth Phong located?

Kenneth Phong practices at 757 Westwood Plz, Los Angeles, CA 90095. The listed phone number is (310) 825-6301.

What is Kenneth Phong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kenneth Phong enrolled in Medicare?

Yes. Kenneth Phong is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenneth Phong was last updated on October 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.