Individual provider Active NPI

Danny Phu, M.D.

  • Internal Medicine Physician
  • Long Beach, CA
National Provider Identifier
1518164094
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A75115 Issued in CA
Practice address
701 E 28TH St
Suite 415
Long Beach, CA 90806-2759
Phone
(562) 988-2777
Fax
(562) 988-2779
NPI assigned
Jun 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 A75115 CA Primary

Addresses

Primary practice location

701 E 28TH St
Suite 415
Long Beach, CA 90806-2759

Mailing address

701 E 28TH St
Suite 415
Long Beach, CA 90806-2759
Phone (562) 988-2777

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
I20040804001068 CA Practitioner - Internal Medicine 0143291906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, Geffen School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2650 Elm Ave
Suite 307
Long Beach, CA 90806-1600
Phone (562) 595-8549

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.23 of 100Reported as group
Quality
98.15
Improvement activities
40
Cost
56.56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A75115CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Long Beach Internal Medical Group, Inc. a Professional Corporation Internal Medicine CurrentSince Feb 1, 2011 Accepting new patients
Danny Phu, M.D.,Inc Internal Medicine PastSince Apr 19, 2005 Accepting new patients

Locations

2650 Elm Ave
Ste 307
Long Beach, CA 90806
Phone (562) 426-6220

2650 Elm Ave
Ste 309
Long Beach, CA 90806
Phone (562) 595-8549

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73195
  • Direct secure messaging: longbeach@lbimg.directbygreenway.com

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518164094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E 28TH ST",
            "address_2": "SUITE 415",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062759",
            "telephone_number": "562-988-2777",
            "fax_number": "562-988-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E 28TH ST",
            "address_2": "SUITE 415",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062759",
            "telephone_number": "562-988-2777",
            "fax_number": "562-988-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHU",
        "first_name": "DANNY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A75115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.