Individual provider Active NPI

Elizabeth Ngoc-Phu Phi, PA-C

  • Medical Physician Assistant
  • Santa Barbara, CA
National Provider Identifier
1124047691
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA 18215 Issued in CA
Practice address
2954 State St
Santa Barbara, CA 93105-3418
Phone
(805) 682-7411
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA 18215 CA Primary

Addresses

Primary practice location

2954 State St
Santa Barbara, CA 93105-3418

Mailing address

2954 State St
Santa Barbara, CA 93105-3418
Phone (805) 682-7411

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100615000178 CA Practitioner - Physician Assistant 5890825061 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carehealth Medical CorporationGroup PAC ID 8426556762, 6 clinicians

Practice addresses (Care Compare)

8345 Pine Ave
Suite 140
Chino, CA 91708-9638
Phone (313) 320-5918

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
18215CAMDOccupational Therapist
PA 18215CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Brentview Medical Inc. CurrentSince Jan 23, 2013 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince May 1, 2023 Accepting new patients
Carehealth Medical Corporation CurrentSince Dec 27, 2025 Accepting new patients
Skinpeccable Inc. Current Accepting new patients
BVM Therapy Inc. Past Accepting new patients

Locations

9710 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 331-8640

212 Coffee Rd
Ste 100
Bakersfield, CA 93309
Phone (661) 885-6060

8345 Pine Ave
Ste 140
Chino, CA 91708
Phone (313) 320-5918

4108 Edison Ave
Ste 112
Chino, CA 91710
Phone (909) 334-4545

32860 Pacific Coast Hwy
Ste 24
Dana Point, CA 92629
Phone (949) 441-2922

6789 N Blackstone Ave
Fresno, CA 93710
Phone (559) 512-3377

11611 San Vicente Blvd
Los Angeles, CA 90049
Phone (310) 447-6060

11611 San Vicente Blvd
Ste GF1
Los Angeles, CA 90049
Phone (310) 820-0013

41540 Winchester Rd
Temecula, CA 92590
Phone (951) 365-5585

Interoperability endpoints

  • Direct secure messaging: elizabeth.phi@3856.securemail.prognocis.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285718400000",
    "number": "1124047691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2954 STATE ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053418",
            "telephone_number": "805-682-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2954 STATE ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053418",
            "telephone_number": "805-682-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHI",
        "first_name": "ELIZABETH",
        "middle_name": "NGOC-PHU",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2010-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA 18215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.