Sothy Lun Pheng, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C132666 Issued in CA

Practice address

2961 Oakberry CT
Fullerton, CA 92835-4304

Phone

(978) 551-8088

NPI assigned

Nov 23, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

University of Connecticut School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence St. Jude Medical Center Hospital, Fullerton, CA, CCN 050168
• Uci Health-Orange Hospital, Orange, CA, CCN 050348
• Kindred Hospital Brea Long-term care hospital, Brea, CA, CCN 052039

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sothy L Pheng MD a Professional Corporation

  • Internal Medicine Physician
  • Fullerton, CA
  • NPI 1407495815
  Medicare reassignment NPD Authorized official
• Providence Medical Foundation

  • Family Medicine Physician
  • Brea, CA
  • NPI 1871607762
  Medicare reassignment Care Compare group NPD (past)
• Hospitalist Medicine Physicians of California - Apple Valley, PC

  • Internal Medicine Physician
  • Apple Valley, CA
  • NPI 1447738075
  Medicare reassignment NPD
• Hospitalist Medicine Physicians of California, Inc

  • Internal Medicine Physician
  • Apple Valley, CA
  • NPI 1184663965
  Medicare reassignment NPD
• Inpatient Specialists of California, PC

  • Internal Medicine Physician
  • San Bernardino, CA
  • NPI 1952792475
  Medicare reassignment NPD
• Kansal Inc

  • Internal Medicine Physician
  • West Hollywood, CA
  • NPI 1043510183
  Medicare reassignment NPD
• Providence Medical Foundation

  • General Practice Physician
  • Diamond Bar, CA
  • NPI 1285890624
  NPD
• Providence Medical Foundation

  • Family Medicine Physician
  • Mission Viejo, CA
  • NPI 1427305960
  NPD
• Providence Medical Foundation

  • Family Medicine Physician
  • Anaheim, CA
  • NPI 1639715709
  NPD
• Massachusetts Em-1 Medical Services

  • Physician Assistant
  • Holyoke, MA
  • NPI 1265620017
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Jude Hospital Inc

  • General Acute Care Hospital
  • Fullerton, CA
  • NPI 1194926279
  Care Compare affiliation
• St Jude Hospital Inc

  • General Acute Care Hospital
  • Brea, CA
  • NPI 1891904942
  Care Compare affiliation
• THC - Orange County LLC

  • Long Term Care Hospital
  • Brea, CA
  • NPI 1780768416

  Long-term care hospital

  Care Compare affiliation
• THC - Orange County LLC

  • Long Term Care Hospital
  • Santa Ana, CA
  • NPI 1851476139

  Long-term care hospital

  Care Compare affiliation
• University of California Irvine

  • Urgent Care Clinic/Center
  • Irvine, CA
  • NPI 1518739309

  Hospital

  Care Compare affiliation
• University of California Irvine

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1689608150
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1083697007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3446",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928343446",
            "telephone_number": "978-551-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2961 OAKBERRY CT",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354304",
            "telephone_number": "978-551-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHENG",
        "first_name": "SOTHY",
        "middle_name": "LUN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "220489",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C132666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2086948",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harry Phan
• Kelly Nguyen Phan, DPT
• Tammy Phan
• Thomas Minh Phan, MD
• Thu Ai Phan, OD
• Bryan-Huy Ngoc Phi, MD
• Tiffany Phillips
• Kaylea Ann Philobos, NBC-HWC
• Raylina Marie Phipps, LVN
• Emily Phoeuth

• Internal Medicine Physician in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.