Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Phung Ngoc Phan

Individual provider Registered Nurse · NPI 1487152534

Phung Ngoc Phan is a Nurse Practitioner in Anaheim, California. Qualified in 2020, 6 years ago. Practices with Advantage Neuropsychiatric Assoc, a 16-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

1596 W Minerva Ave
Anaheim, CA 92802-1624
Phone: (714) 675-5925
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1501 Hughes Way Ste 150, Long Beach, CA 90810-1878 — (310) 221-6336

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence NP95017548 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95044332 (CA)
Adult Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0809X · Licence 95044332 (CA)

Record details

NPI number1487152534
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 24, 2018
Last updated in NPPESSeptember 10, 2021
Certification dateAugust 25, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Advantage Neuropsychiatric Assoc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Anaheim