Individual provider Active NPI

Hung Canh Phan, MD

  • Internal Medicine Physician
  • Norwalk, CA
National Provider Identifier
1447505284
Registry record updated Jul 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
15347 Issued in NV
Practice address
11401 Bloomfield Ave
Norwalk, CA 90650-2015
Phone
(562) 863-7011
NPI assigned
Jul 18, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 15347 NV Primary

Addresses

Primary practice location

11401 Bloomfield Ave
Norwalk, CA 90650-2015

Mailing address

11401 Bloomfield Ave
Norwalk, CA 90650-2015
Phone (562) 863-7011

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160428000643 CA Practitioner - Internal Medicine 2365765179 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Department of State HospitalsGroup PAC ID 9638174238, 275 clinicians
Le, Nguyen, Tram, Nguyen and Tran Medical CorporationGroup PAC ID 0345341590, 4 clinicians

Practice addresses (Care Compare)

11401 Bloomfield Ave
Norwalk, CA 90650-2015
Phone (916) 651-8811

15355 Brookhurst St
Westminster, CA 92683-7077
Phone (714) 531-2220

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group CurrentSince Dec 10, 2016 Accepting new patients
Department of State Hospitals CurrentSince Nov 11, 2023 Accepting new patients
Senior Care Clinic a Medical Corporation CurrentSince Mar 20, 2016 Accepting new patients
Department of State Hospitals CurrentSince Nov 11, 2023 Accepting new patients
Department of State Hospitals Current Accepting new patients
Healthcare Partners Affiliates Medical Group Internal Medicine Current Accepting new patients
Le, Nguyen, Tram, Nguyen & Tran Medical Corporation Internal Medicine CurrentSince Apr 4, 2025 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Dec 10, 2016 Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

8311 Florence Ave
Downey, CA 90240
Phone (310) 923-4911

1700 E Cesar E Chavez Ave
Ste 3900
Los Angeles, CA 90033
Phone (323) 307-0800

11401 Bloomfield Ave
Norwalk, CA 90650
Phone (562) 863-7011

601 Torrance Blvd
#1182
Redondo Beach, CA 90277

1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805

15355 Brookhurst St
Ste 102
Westminster, CA 92683
Phone (714) 531-2220

15355 Brookhurst St
Ste 102108
Westminster, CA 92683
Phone (714) 531-2220

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753488000000",
    "number": "1447505284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11401 BLOOMFIELD AVE",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502015",
            "telephone_number": "562-863-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11401 BLOOMFIELD AVE",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502015",
            "telephone_number": "562-863-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "HUNG",
        "middle_name": "CANH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-18",
        "last_updated": "2025-07-26",
        "certification_date": "2025-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "15347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CA

Sources for this page

Verify at the official NPI Registry.