JENNY PHAN (NPI# 1730668757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730668757 |
| Entity Type | Individual |
| Full Name | JENNY PHAN |
| Practice Address |
1556 S Sultana Ave Ontario CA 91761-4238 |
| Practice Telephone | 9094186923 |
| Practice Fax Number | 9094186937 |
| Mailing Telephone | 9094186923 |
| Mailing Fax Number | 9094186937 |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2018-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245336221 | Jenny Thuy Phan | Chiropractor | 3675 Crestwood Pkwy Nw, Suite 400, Duluth, GA 30096-1805 | 2006-09-16 |
| 1124568225 | Jenny Phan | Physician Assistant | 21770 Kingsland Blvd, Katy, TX 77450-2513 | 2017-03-08 |
| 1982015210 | Jenny Phan | Family Medicine | 26520 Cactus Ave, Family Medicine Department, Moreno Valley, CA 92555-3927 | 2014-05-08 |
| Street Address |
1556 S SULTANA AVE |
| City | ONTARIO |
| State | CA |
| Zip Code | 91761-4238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154547065 | Kids Come First Community Clinic | Pediatrics | 1556 S Sultana Ave, Ontario, CA 91761-4238 | 2007-04-18 |
| 1538773148 | Guadalupe Martinez | Student in an Organized Health Care Education/Training Program | 1556 S Sultana Ave, Ontario, CA 91761-4238 | 2020-09-01 |
| 1255944492 | Jeneen Lorraine Cuevas | Student in an Organized Health Care Education/Training Program | 1556 S Sultana Ave, Ontario, CA 91761-4238 | 2020-08-27 |
| 1992317937 | Marijane Garcia | Student in an Organized Health Care Education/Training Program | 1556 S Sultana Ave, Ontario, CA 91761-4238 | 2020-08-20 |
| 1871105015 | Alyssa Andrea Silva | Student in an Organized Health Care Education/Training Program | 1556 S Sultana Ave, Ontario, CA 91761-4238 | 2020-08-19 |
| 1245841204 | Esteban Solis | Student in an Organized Health Care Education/Training Program | 1556 S Sultana Ave, Ontario, CA 91761-4238 | 2020-08-13 |
| 1235740432 | Alejandra Andalon | Student in an Organized Health Care Education/Training Program | 1556 S Sultana Ave, Ontario, CA 91761-4238 | 2020-08-11 |
| 1912517103 | Yvette Denise Ingram | Student in an Organized Health Care Education/Training Program | 1556 S Sultana Ave, Ontario, CA 91761-4238 | 2020-08-03 |
| 1427668763 | Ceirra Lena Venzor | Student in an Organized Health Care Education/Training Program | 1556 S Sultana Ave, Ontario, CA 91761-4238 | 2020-08-02 |
| 1467062802 | Jennifer Lopez | Student in an Organized Health Care Education/Training Program | 1556 S Sultana Ave, Ontario, CA 91761-4238 | 2020-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902418163 | Blue Oak Counseling Services, Inc. | Counselor | 3200 Guasti Rd #100, Ontario, CA 91761 | 2020-08-19 |
| 1578115986 | Hadel Awad | Behavior Technician | 1801 South Excise Ave, 116, Ontario, CA 91761 | 2019-07-15 |
| 1265902845 | Stephanie Escalante | Behavior Technician | 1801 S. Excise Ave. #116, Ontario, CA 91761 | 2018-11-27 |
| 1801395595 | Optimum Bio Lab Inc | Clinical Medical Laboratory | 1910 S Archibald Ave #d, Ontario, CA 91761 | 2018-02-07 |
| 1871010033 | Evelyn Esther Martinez | Case Manager/Care Coordinator | 1556 S. Sultana Ave., Ontario, CA 91761 | 2017-08-28 |
| 1750812525 | Building Bridges Christian Counseling | Marriage & Family Therapist | 3200 Guasti Road, Suite 100, Ontario, CA 91761 | 2017-03-23 |
| 1659829513 | Gregory J Musselman | Physician Assistant | 3550 E Philadelphia St Ste 150, Ontario, CA 91761 | 2016-09-20 |
| 1700332327 | Ramon Cardenas | Registered Nurse | 721 E. Banyan St., Ontario, CA 91761 | 2016-09-01 |
| 1023565660 | Breanna Gonzalez | Occupational Therapist | 3449 S. Wrangler Pl., Ontario, CA 91761 | 2016-09-01 |
| 1326491507 | Sasha Khawaja | Specialist/Technologist | 1500 So. Haven Ave, Ste 190, Ontario, CA 91761 | 2016-07-22 |
| Find all providers in zip 91761 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811508302 | Hallary Morales | Student in an Organized Health Care Education/Training Program | 1005 N Center Ave Apt 6108, Ontario, CA 91764-5515 | 2020-08-10 |
| 1285269068 | Amylee Michelle Martin | Student in an Organized Health Care Education/Training Program | 2829 E Clydesdale St, Ontario, CA 91761-5094 | 2020-03-11 |
| 1932764552 | Sarah R Georgianna | Student in an Organized Health Care Education/Training Program | 808 Boston Rd, Ontario, NY 14519-9372 | 2019-05-08 |
| 1720583156 | Sudha Lagudu | Student in an Organized Health Care Education/Training Program | 3350 Concours Apt 22i, Ontario, CA 91764-4888 | 2018-03-27 |
| 1174069504 | Baileigh Alyse Mesman | Student in an Organized Health Care Education/Training Program | 880 E Cottonwood St, Ontario, CA 91761-6861 | 2017-01-09 |
| 1124476270 | Waseem Khader | Student in an Organized Health Care Education/Training Program | 1056 E Philadelphia St Unit 112, Ontario, CA 91761-4843 | 2016-05-31 |
| 1124405956 | Ronald Ortizo | Student in an Organized Health Care Education/Training Program | 3034 E Black Horse Dr, Ontario, CA 91761-9176 | 2015-04-30 |
| 1568865251 | Jennifer Estberg | Student in an Organized Health Care Education/Training Program | 317 W. F Street, Ontario, CA 91762 | 2014-10-08 |
| 1427329531 | Georgina Zamarron | Student in an Organized Health Care Education/Training Program | 1556 S. Sultana Ave, Ontario, CA 91761-4238 | 2012-01-20 |
| 1770767360 | John R Roth | Student in an Organized Health Care Education/Training Program | 1219 Sw 4th Ave Unit 1, Ontario, OR 97914-4500 | 2007-12-19 |
| Find all providers in ONTARIO | ||||
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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.