Active NPI
Alexander Phan
- Student in an Organized Health Care Education/Training Program
- Los Angeles, CA
National Provider Identifier
1750213633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1500 San Pablo St
Los Angeles, CA 90033-5313 - Phone
- (800) 872-2273
- NPI assigned
- Jun 2, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | Primary |
Addresses
Primary practice location
1500 San Pablo St
Los Angeles, CA 90033-5313
Mailing address
5532 Castana Ave
Lakewood, CA 90712-1625
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260622003671 | CA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1153894118 |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of Southern California Keck School of Medicine, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
215 N Marengo Ave
Suite 201
Pasadena, CA 91101-1532
PO Box
Suite 50938
Los Angeles, CA 90074
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780358400000",
"number": "1750213633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5532 CASTANA AVE",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907121625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 SAN PABLO ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900335313",
"telephone_number": "800-872-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAN",
"first_name": "ALEXANDER",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-06-02",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.