JENNIFER PHAN (NPI# 1891386256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891386256 |
| Entity Type | Individual |
| Full Name | JENNIFER PHAN |
| Gender | Female |
| Practice Address | 10809 Palms Blvd Apt A Los Angeles CA 90034-5584 |
| Practice Telephone | 5626863950 |
| Mailing Address | 10809 Palms Blvd Apt A Los Angeles CA 90034-5584 |
| Certification Date | 2021-01-28 |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2021-01-28 |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396385654 | Jennifer Phan | 865 Marina Bay Pkwy Ste 37 & 38, Richmond, CA 94804 | 2020-01-14 | |
| 1609372150 | Jennifer Phan | 1452 Reed Ave, San Diego, CA 92109-5351 | 2018-04-03 | |
| 1114333697 | Jennifer Phan | 6848 Landing Dr, Grand Prairie, TX 75054-6810 | 2014-07-07 | |
| 1861621880 | Jennifer Phan | 3113 N Broadway Street, Anderson, IN 46012-1261 | 2009-07-12 | |
| 1376003509 | Jennifer Phan | 5246 Brittany Dr Fl 3, Baton Rouge, LA 70808-9136 | 2019-03-22 | |
| 1780002055 | Jennifer Phan | 200 Medical Plaza Ste 214, Los Angeles, CA 90095-1804 | 2014-04-02 | |
| 1205265956 | Jennifer Phan | 6325 Rosemead Blvd, San Gabriel, CA 91775-1933 | 2013-11-04 |
| Street Address | 10809 PALMS BLVD APT A |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90034-5584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518582014 | Pdi Health Ca LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3415 South Sepulveda Blvd Ste 1100, Los Angeles, CA 90034 | 2020-06-10 |
| 1154888063 | Lanmc Corporation | Community/Behavioral Health | 1920 S. Robertson Blvd., Los Angeles, CA 90034 | 2019-02-27 |
| 1841799400 | Benjamin Kerneves | Physical Therapist | 3637 Clarington Ave, Los Angeles, CA 90034 | 2018-02-08 |
| 1497274799 | Nancy Mcdonald | Counselor | 9854 National Blvd., #493, Los Angeles, CA 90034 | 2017-09-18 |
| 1063931608 | Alexa Rohach | Physical Therapist | 3710 Midvale Ave, Unit 109, Los Angeles, CA 90034 | 2017-09-14 |
| 1225551807 | Bts Outpatient LLC | Counselor · Addiction (Substance Use Disorder) | 8847 Venice Blvd, Los Angeles, CA 90034 | 2017-07-25 |
| 1316467400 | Clarissa Green | Rehabilitation Counselor | Vista Del Mar 3200 Motor Ave, Los Angeles, CA 90034 | 2017-06-21 |
| 1245789940 | Genesis Psychology Group, Inc. | Psychologist · Cognitive & Behavioral | 3611 Motor Ave., Suite 240, Los Angeles, CA 90034 | 2016-09-23 |
| 1245787712 | Mahsa Harati | Dentist | 3670 Glendon Ave, Apt # 204, Los Angeles, CA 90034 | 2016-09-01 |
| 1134675440 | Noelle Antoinette Avellino | Social Worker · Clinical | 3384 Motor Ave., Los Angeles, CA 90034 | 2016-08-28 |
| Find all providers in zip 90034 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629668546 | Melanie Murray | 138 N Beaudry Ave Unit 539, Los Angeles, CA 90012-3376 | 2021-01-25 | |
| 1235729344 | Ashley Danielle Shewmake | 8635 W 3rd St Ste 350w, Los Angeles, CA 90048-6112 | 2021-01-22 | |
| 1740870211 | David Dominguez | 3960 Arlington Ave, Los Angeles, CA 90008-2710 | 2021-01-19 | |
| 1184213647 | Vicki Luong | 767 N Hill St Ste 200a, Los Angeles, CA 90012-2365 | 2021-01-11 | |
| 1164010807 | Rebecca David | 2932 Nicada Dr, Los Angeles, CA 90077-2026 | 2021-01-07 | |
| 1841886975 | Daniela Massachi | 2759 Aqua Verde Cir, Los Angeles, CA 90077-1502 | 2020-12-13 | |
| 1154929644 | Tatum Little | 3307 W 79th St, Los Angeles, CA 90043-5249 | 2020-10-15 | |
| 1144828963 | Chan Ho Park | 4721 Oakwood Ave, Los Angeles, CA 90004-3112 | 2020-10-14 | |
| 1235737172 | Jennifer Rae Levitt Physician Assistant, Inc | 1439 N Highland Ave Ste 1059, Los Angeles, CA 90028-7622 | 2020-10-13 | |
| 1174120943 | Melody Fatehi | 6228 Orange St Apt 9, Los Angeles, CA 90048-4836 | 2020-10-05 | |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336494723 | Jennifer Anna Phan Prewitt · Jennifer Anna Phan | Physical Therapist | 19110 Bothell Way Ne Ste 203, Bothell, WA 98011-2970 | 2012-07-20 |
| 1912062522 | Jennifer P Robinson · Jennifer L Phan | Internal Medicine | 1938 Peachtree Road Nw, Kaiser Permanente Hospital Services, Atlanta, GA 30309 | 2006-12-26 |
| 1780167908 | Jennifer Phan Ha | Student in an Organized Health Care Education/Training Program | 515 Columbia Ave, Los Angeles, CA 90017-1209 | 2018-09-13 |
| 1780991067 | Jennifer N Phan | Registered Nurse | 1411 E 31st St, Oakland, CA 94602-1018 | 2010-09-08 |
| 1538443460 | Jennifer Trinh Phan | Nurse Practitioner · Adult Health | 266 Main St Ste 4, Medfield, MA 02052-2018 | 2011-10-11 |
| 1801045158 | Jennifer Ngoc-Son Phan | Counselor · Mental Health | 210 S De Lacey Ave Ste 110, Pasadena, CA 91105-2074 | 2008-09-11 |
| 1194378133 | Huong Jennifer Phan | Pharmacist | 3457 Mckee Rd, San Jose, CA 95127-2233 | 2019-07-18 |
| 1174981195 | Jason Phan Dds Inc. · Kuwahara and Phan Endodontics | Dentist · Endodontics | 23451 Madison St, Ste 210, Torrance, CA 90505-4763 | 2016-02-04 |
| 1699271429 | Tung Phan · Tom Phan | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2018-04-02 |
| 1538472683 | Tuanh Phan La · Tuann Phan La | Optometrist | 9500 Clifford St, Fort Worth, TX 76108-4403 | 2010-07-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.