MRS. JANE PHAN (NPI# 1194944934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194944934 |
| Entity Type | Individual |
| Full Name | MRS. JANE PHAN |
| Credential | RNP |
| Practice Address |
1530 E South St Long Beach CA 90805-4341 |
| Mailing Address |
731 S Goldfinch Way Anaheim CA 92807-4419 |
| Practice Telephone | 5629849200 |
| Mailing Telephone | 7142812260 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F1106245 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1530 E SOUTH ST |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90805-4341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396034534 | Samia Holman | Nurse Practitioner | 1530 E South St, Long Beach, CA 90805-4341 | 2011-03-28 |
| 1427203785 | South Medical Group | Internal Medicine | 1530 E South St, Long Beach, CA 90805-4341 | 2008-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073154928 | Makando Mutanda | Counselor | 161 West Victoria St., Long Beach, CA 90805 | 2019-10-02 |
| 1326609496 | Alliance Hospitalist Medical Corporation | Internal Medicine | 3300 E South St Ste 307, Lakewood, CA 90805 | 2019-06-27 |
| 1609345925 | Belmont Rx LLC | Pharmacy | 6583 Atlantic Ave., 1st Floor Ste 109, Long Beach, CA 90805 | 2018-11-15 |
| 1508359605 | Mykayla Rowley | Case Manager/Care Coordinator | 5190 Atlatic Ave, Long Beach, CA 90805 | 2018-06-13 |
| 1942728589 | Marissa Liana Cabral | Social Worker | 5190 Atantic Ave, Long Beach, CA 90805 | 2017-09-04 |
| 1245757673 | Karina Vasquez | Licensed Vocational Nurse | 1325 E Poppy St, Long Beach, CA 90805 | 2017-08-25 |
| 1376060277 | Rebekkah Dawn Williams | Counselor | 100 East Market Street, Long Beach, CA 90805 | 2017-08-23 |
| 1871038919 | Andrea Dabbs | Pharmacist | 3700 E. South St., Lakewood, CA 90805 | 2016-12-28 |
| 1164972360 | Young Men's Christian Association of Greater Long Beach | Health Educator | 4949 Atlantic Ave, Long Beach, CA 90805 | 2016-10-12 |
| 1043662158 | Kristina Eunjeong Chang | Podiatrist | 3700 E South Street, Lakewood, CA 90805 | 2016-07-13 |
| Find all providers in zip 90805 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061117 | Charisse Christie Magsaysay | Nurse Practitioner | 4508 Atlantic Ave Ste 468a, Long Beach, CA 90807-1520 | 2020-10-23 |
| 1780293886 | Christina Balladin | Nurse Practitioner | 37 E Hudson St, Long Beach, NY 11561-2106 | 2020-07-24 |
| 1598391518 | Samantha Lynne Band | Nurse Practitioner | 360 W Ocean Blvd Apt 406, Long Beach, CA 90802-4606 | 2020-03-21 |
| 1144854472 | Terezia Marie Tarantino | Nurse Practitioner | 542 E Market St, Long Beach, NY 11561-2421 | 2020-02-25 |
| 1619500196 | Mns Healthcare Solutions LLC | Nurse Practitioner | 3802 Hathaway Ave Apt 812, Long Beach, CA 90815-5117 | 2020-02-12 |
| 1588228738 | Jeannet D Ly | Nurse Practitioner | 2100 E Anaheim St Ste B, Long Beach, CA 90804-3419 | 2019-04-23 |
| 1730642166 | Justin Kimberland Jourdan | Nurse Practitioner | 523 Arbor Station Dr, Long Beach, MS 39560-5734 | 2019-04-11 |
| 1447711460 | Giselle Ann Rodriguez Zaragoza | Nurse Practitioner | 5920 Gardenia Ave, Long Beach, CA 90805-4210 | 2019-03-31 |
| 1427515998 | Saury Mamisay | Nurse Practitioner | 3145 Julian Ave, Long Beach, CA 90808-4436 | 2019-02-20 |
| 1932663630 | Agatha Chinyere Osuji | Nurse Practitioner | 3530 Atlantic Ave Ste 101, Long Beach, CA 90807-4569 | 2019-01-27 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90805 |
Please comment or provide details below to improve the information on MRS. JANE PHAN.
| 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.