KENNETH PHONG NP
NPI 1942740899
Nurse Practitioner - Family in Los Angeles, CA
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
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kenneth Phong Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kenneth Phong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90095
- Reassigned Medicare billing, California enrollment
- 1,766 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 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.
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.
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
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.
Which organization bills Medicare for Kenneth Phong's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Phong reassigns Medicare benefits to The Regents Of The University Of California (Los Angeles, CA). The 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 Kenneth Phong'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 Kenneth Phong was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Kenneth Phong, NP · NPI 1942740899
Family physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since February 26, 2017.
## Identity
- **NPI:** 1942740899 (Entity type: Individual)
- **Enumerated:** February 26, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95006058 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 757 WESTWOOD PLZ, Los Angeles, CA 90095-8358
- **Phone:** (310) 825-6301 · **Fax:** (310) 825-7473
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Regents Of The University Of California (NPI 1235107566, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** October 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1942740899) · Data from the CMS NPPES public registry.