Active NPI
Lananh Phan, NP
- Family Nurse Practitioner
- Henderson, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN001922
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528352341 | Medicaid | NV |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| R190658 | MD | MD | Family Nurse Practitioner |
| APRN001922 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Stephen R Shea, M.D., Inc | Current | Accepting new patients | |
| Anaheim Urgent Care, Inc. | Current | Accepting new patients | |
| Anaheim Urgent Care, Inc. | Current | Accepting new patients | |
| Stephen R. Shea, M.D., Inc. | Current | Accepting new patients | |
| Exer Medical Corporation | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Anaheim Urgent Care, Inc | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current | 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.
-
dba Exer Urgent Care
- Urgent Care Clinic/Center
- Calabasas, CA
- NPI 1588901532
-
- Urgent Care Clinic/Center
- Anaheim, CA
- NPI 1962680033
-
dba Optum
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
-
- Emergency Medicine Physician
- San Pedro, CA
- NPI 1942239033
-
dba Advanced Urgent Care of Beverly Hills
- Urgent Care Clinic/Center
- Beverly Hills, CA
- NPI 1619682788
-
dba Optum
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
-
dba Optum
- Addiction Medicine (Internal Medicine) Physician
- Tustin, CA
- NPI 1891981502
-
dba Long Beach Emergency Medical Group
- Emergency Medicine Physician
- Long Beach, CA
- NPI 1326079872
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.