Active NPI
Yen Le Phan, MSN, FNP-BC
- Family Nurse Practitioner
- El Monte, CA
National Provider Identifier
1174071799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95004857
- Practice address
- 4368 Santa Anita Ave
El Monte, CA 91731-1606 - Phone
- (626) 919-5724
- NPI assigned
- Sep 12, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP029810 | PA | |
| Family Nurse Practitioner | 363LF0000X | 95004857 | CA | Primary |
Addresses
Primary practice location
4368 Santa Anita Ave
El Monte, CA 91731-1606
Mailing address
1420 S 5TH St Apt D
Alhambra, CA 91803-3344
Phone (626) 320-3354
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95004857 | Other | CA | CALIFORNIA NURSE PRACTITIONER FURNISHING NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, MI, TN, NV, AZ, IN, PA, FL, OH, NM, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 11
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- East Valley Community Health Center, Inc.
Practice addresses (Care Compare)
420 S Glendora Ave
West Covina, CA 91790-3001
Phone 6269194333259
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP029810 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wound Care Consultants LLC | Family | Current | Accepting new patients |
| Riverview Hospital | Past | Accepting new patients | |
| Hospital Care Group, P.C. | Past | Accepting new patients | |
| Palomar Health | Past | Accepting new patients |
Locations
23250 Chagrin Blvd
Ste 450
Beachwood, OH 44122
Phone (216) 402-0027
6789 Ridge Rd
Ste 305
Parma, OH 44129
Phone (440) 491-8334
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- West Covina, CA
- NPI 1831243625
-
- General Acute Care Hospital
- Escondido, CA
- NPI 1457321317
-
- Internal Medicine Physician
- Fort Wayne, IN
- NPI 1295083624
-
- Community Health Clinic/Center
- Noblesville, IN
- NPI 1831177427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775433600000",
"number": "1174071799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 S 5TH ST APT D",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918033344",
"telephone_number": "626-320-3354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4368 SANTA ANITA AVE",
"city": "EL MONTE",
"state": "CA",
"postal_code": "917311606",
"telephone_number": "626-919-5724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAN",
"first_name": "YEN",
"middle_name": "LE",
"credential": "MSN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-12",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP029810",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95004857",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA NURSE PRACTITIONER FURNISHING NUMBER",
"identifier": "95004857",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Monte, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.