Individual provider Active NPI

Lananh Phan, NP

  • Family Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1528352341
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN001922 Issued in NV
Practice address
2621 W Horizon Ridge Pkwy
Suite 110
Henderson, NV 89052-2895
Phone
(702) 803-5534
Fax
(702) 550-4920
NPI assigned
Jun 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R190658 MD
Family Nurse Practitioner 363LF0000X 22208 CA
Family Nurse Practitioner 363LF0000X APRN001922 NV Primary

Addresses

Primary practice location

2621 W Horizon Ridge Pkwy
Suite 110
Henderson, NV 89052-2895

Mailing address

2621W Horizon Ridge Pkwy 110
Henderson, NV 89052-2895
Phone (702) 803-5534

Other identifiers 1

IdentifierTypeStateIssuer
1528352341MedicaidNV

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170628003038 CA Practitioner - Nurse Practitioner 0648459818 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exer Medical CorporationGroup PAC ID 9032359534, 336 clinicians

Practice addresses (Care Compare)

16818 Hawthorne Blvd
Lawndale, CA 90260-3218
Phone (310) 542-0800

2100 S Euclid St
Suite 102
Anaheim, CA 92802-4572
Phone (714) 644-9100

2195 Sepulveda Blvd
Torrance, CA 90501-4616
Phone (424) 337-1600

235 E 17TH St
Costa Mesa, CA 92627-3831
Phone (949) 688-2010

2613 Pacific Coast Hwy
Torrance, CA 90505-7037
Phone (424) 625-0220

26777 Agoura Rd
Suite B4
Calabasas, CA 91302-2967
Phone (818) 880-2225

28900 S Western Ave
Rancho Palos Verdes, CA 90275-0805
Phone (424) 702-0500

3932 Long Beach Blvd
Suite a
Long Beach, CA 90807-2615
Phone (562) 855-2800

4200 E Pacific Coast
Suite 102
Long Beach, CA 90804-2107
Phone (562) 661-9100

831 S State College Blvd
Anaheim, CA 92806-4613
Phone (714) 533-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R190658MDMDFamily Nurse Practitioner
APRN001922NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group Current Accepting new patients
Stephen R Shea, M.D., Inc CurrentSince Jun 1, 2017 Accepting new patients
Anaheim Urgent Care, Inc. Current Accepting new patients
Anaheim Urgent Care, Inc. CurrentSince Jun 1, 2022 Accepting new patients
Stephen R. Shea, M.D., Inc. CurrentSince Jun 1, 2017 Accepting new patients
Exer Medical Corporation CurrentSince Jul 1, 2023 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jul 23, 2018 Accepting new patients
Anaheim Urgent Care, Inc CurrentSince Jun 1, 2022 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jul 23, 2018 Accepting new patients

Locations

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

2100 S Euclid St
Anaheim, CA 92802
Phone (310) 542-0800

26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225

26777 Agoura Rd
Calabasas, CA 91302
Phone (818) 880-2225

6010 Hidden Valley Rd
Ste 150
Carlsbad, CA 92011
Phone (760) 544-8233

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

13299 South St
Cerritos, CA 90703
Phone (562) 865-8750

235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010

2381 Rosecrans Ave
Ste 115
El Segundo, CA 90245
Phone (213) 335-7355

7000 Boulder Ave
Ste 103
Highland, CA 92346
Phone (515) 441-6271

1050 Linden Ave
Long Beach, CA 90813
Phone (562) 491-9000

888 S Figueroa St
Ste 600
Los Angeles, CA 90017

5717 Melrose Ave
Los Angeles, CA 90038
Phone (323) 957-2273

1300 N La Brea Ave
Los Angeles, CA 90028
Phone (323) 464-1336

396 S Main St
Ste 101
Orange, CA 92868
Phone (714) 450-6580

827 Deep Valley Dr
Ste 100
Rolling Hills Estates, CA 90274
Phone (424) 903-8507

22032 El Paseo
Ste 130
Rsm, CA 92688
Phone (949) 546-9958

1300 W 7th St
San Pedro, CA 90732
Phone (310) 514-5350

3501 S Harbor Blvd
Santa Ana, CA 92704
Phone (714) 784-1658

25548 The Old Rd
Ste U1
Stevenson Ranch, CA 91381
Phone (661) 556-9020

701 N Wendy Dr
Thousand Oaks, CA 91320
Phone (805) 375-4400

4401 W Memorial Rd
Ste 121
Oklahoma City, OK 73134
Phone (405) 749-4560

Organizations & group practices 9

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": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1528352341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621W HORIZON RIDGE PKWY 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522895",
            "telephone_number": "702-803-5534",
            "fax_number": "702-550-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 W HORIZON RIDGE PKWY",
            "address_2": "SUITE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522895",
            "telephone_number": "702-803-5534",
            "fax_number": "702-550-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "LANANH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-09",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R190658",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "22208",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN001922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528352341",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.