Individual provider Active NPI

Yen Le Phan, MSN, FNP-BC

  • Family Nurse Practitioner
  • El Monte, CA
National Provider Identifier
1174071799
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95004857 Issued in CA
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

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
95004857OtherCACALIFORNIA 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, AR11 enrollments
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 11

Enrollment IDStateProvider typePAC IDDetails
I20201215002835 CA Practitioner - Nurse Practitioner 1355699810 Reassigns benefits to 1 organization
I20240610003242 MI Practitioner - Nurse Practitioner 1355699810
I20240619000584 TN Practitioner - Nurse Practitioner 1355699810
I20240620001050 NV Practitioner - Nurse Practitioner 1355699810
I20240621003586 AZ Practitioner - Nurse Practitioner 1355699810
I20240622000242 IN Practitioner - Nurse Practitioner 1355699810
I20240625002129 PA Practitioner - Nurse Practitioner 1355699810
I20240626000114 FL Practitioner - Nurse Practitioner 1355699810
I20240708003752 OH Practitioner - Nurse Practitioner 1355699810 Reassigns benefits to 1 organization
I20240710003555 NM Practitioner - Nurse Practitioner 1355699810
I20240731000399 AR Practitioner - Nurse Practitioner 1355699810

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.Group PAC ID 9234041765, shared by 4 NPIs, 50 clinicians

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

LicenseStateTypeSpecialty
SP029810PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Care Consultants LLC Family CurrentSince Apr 21, 2024 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.

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

Verify at the official NPI Registry.