Active NPI
Andrew Phung
- Family Medicine Physician
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A22573
- Practice address
- 10 Congress St Ste 208
Pasadena, CA 91105-3027 - Phone
- (626) 792-2166
- Fax
- (626) 795-0740
- NPI assigned
- Apr 3, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 20A22573 | CA | Primary |
Addresses
Primary practice location
10 Congress St Ste 208
Pasadena, CA 91105-3027
Mailing address
10 Congress St Ste 208
Pasadena, CA 91105-3027
Phone (626) 792-2166
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10 Congress St
Suite 208
Pasadena, CA 91105-3027
Phone (626) 792-2166
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Huntington Medical Foundation | Family Medicine | Current | Accepting new patients |
| Pih Health Physicians | Current | Accepting new patients | |
| Pih Health Physicians | Current | Accepting new patients | |
| Pih Health Physicians | Family Medicine | Current | Accepting new patients |
| Huntington Medical Foundation | Family Medicine | Past | Accepting new patients |
Locations
11500 Brookshire Ave
Ofc
Downey, CA 90241
Phone (562) 904-5000
1400 S Harbor Blvd
La Habra, CA 90631
Phone (714) 879-3400
12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339
10 Congress St
Ste 208
Pasadena, CA 91105
Phone (626) 792-2166
65 N Madison Ave
Ste 800
Pasadena, CA 91101
Phone (626) 792-3141
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- andrewphung@pihh.allscriptsdirect.net
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.
-
dba Huntington Health Physicians
- Internal Medicine Physician
- Pasadena, CA
- NPI 1154467181
Family Medicine
-
- Family Medicine Physician
- Whittier, CA
- NPI 1609233899
-
- Ophthalmology Physician
- Whittier, CA
- NPI 1295131621
-
- Anesthesiology Physician
- Downey, CA
- NPI 1447931506
-
- Endocrinology, Diabetes & Metabolism Physician
- Pasadena, CA
- NPI 1609950237
Family Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Huntington Hospital
- General Acute Care Hospital
- Pasadena, CA
- NPI 1407828429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1467031971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CONGRESS ST STE 208",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053027",
"telephone_number": "626-792-2166",
"fax_number": "626-795-0740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CONGRESS ST STE 208",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053027",
"telephone_number": "626-792-2166",
"fax_number": "626-795-0740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHUNG",
"first_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-03",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A22573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
- Summer Delani-Baker Phillips
- Wyonsenia Denise Phillips
- Rosabelle Philogene
- Phoenix Home Health
- Cindy Phun
- Phy Corporation
- Phyllis Mo, DO, Inc (The Osteopathic Way)
- Physical Therapy Connection, Inc
- Physical Therapy Services Medical Group, Inc.
- Physician Associates of the Greater San Gabiel Valley, a Medical Group
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.