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MISS ELLYN M PHAN M.D.
NPI 1972035350
Internal Medicine in Lakewood, CA

Active since April 03, 2017PECOS EnrolledAccepts Medicare Assignment
4447 CANDLEWOOD ST, LAKEWOOD, CA 90712(657) 241-9935 Get Directions Write a Review

NPPES record last updated: June 7, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 7, 2024, Nov 19, 2021 (2 updates tracked since 2021).

About Miss Ellyn M Phan M.d. NPPES

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

MISS ELLYN M PHAN M.D. (NPI 1972035350) is an individual internal medicine provider in Lakewood, California, licensed in California (A169745) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1972035350
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMISS ELLYN M PHANCredential: M.D.
Location Address4447 CANDLEWOOD STLakewood, CA 90712-1736
Mailing Address4447 Candlewood StLakewood, CA 90712-1736 · (657) 241-9935 · Fax (657) 276-4736
Phone(657) 241-9935
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateApril 3, 2017
Last NPPES UpdateJune 7, 20242 updates tracked since enumeration
NPPES CertifiedJune 7, 2024
✔ NPI 1972035350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A169745
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4447 CANDLEWOOD ST, Lakewood, CA 90712
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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 and accepts Medicare assignment

Miss Ellyn M Phan M.d. 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 ID8224449335
PECOS Enrollment IDI20201120002543
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
34 services26 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
24 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90712 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier20 claims20 services$13.41 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier20 claims20 services$65.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DAPHNE RENATA HAYES M.D.
Obstetrics & Gynecology
4447 CANDLEWOOD ST
LAKEWOOD, CA 90712
Los Angeles County (657) 241-9935
LESLIE YOUNG MD
Pediatrics
4447 CANDLEWOOD ST
LAKEWOOD, CA 90712
Los Angeles County (657) 241-9935
MELISSA V HUYNH NGUYEN M.D.
Family Medicine
4447 CANDLEWOOD ST
LAKEWOOD, CA 90712
Los Angeles County (657) 241-9935

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 Ellyn Phan's NPI number?

The NPI number for Ellyn Phan is 1972035350. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Where is Ellyn Phan located?

Ellyn Phan practices at 4447 Candlewood St, Lakewood, CA 90712. The listed phone number is (657) 241-9935.

What is Ellyn Phan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ellyn Phan enrolled in Medicare?

Yes. Ellyn Phan 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 Ellyn Phan was last updated on June 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.