PHUONG ANH THI LA (P.A.-C) – Medical Physician Assistant, NPI 1891865747
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,686 PHYSICIAN ASSISTANT in CA
Provider Addresses for PHUONG ANH THI LA (P.A.-C)
2077 HARBOR BLVD STE 100
COSTA MESA, CA 926279384
Phone: (949) 740-7117
Fax: (949) 209-3955
Type: Mailing
2071, Compton Avenue, Corona Spectrum, Corona, Riverside County, California, 92881, United States
SUITE 102
CORONA, CA 928817278
Phone: (951) 549-0900
Fax: (951) 278-8552
Type: Location
8815, East Fallbrook Way, Anaheim, Orange County, California, 92808, United States
ANAHEIM, CA 928083601
Phone: (714) 281-9277
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $172.
Total Amount is formed as General ($172) + Research ($0) + Ownership ($0) = $172.
Last reported payment date: 2024-02-29 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($102).
Total Amount
$172
General + Research + Ownership
Payments
9
Total payment records
General Amount
$172
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $102 |
| Novo Nordisk Inc | $50 |
| AstraZeneca Pharmaceuticals LP | $20 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-06-17
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080617000659 | I | Physician Assistant | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92627)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA | |
| Family Practice | GA | |
| Physician Assistant | CA | |
| Nurse Practitioner | CA |
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