PHOEBE JEN DO
NPI 1013594043
Student in an Organized Health Care Education/Training Program in Colton, CA

Q: What is Phoebe Jen's NPI number?

The NPI number for Phoebe Jen is 1013594043. It was assigned to this individual provider in the NPPES registry on March 25, 2021.

Q: What is Phoebe Jen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Phoebe Jen was last updated on March 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 25, 2021PECOS EnrolledAccepts Medicare Assignment

400 N PEPPER AVE, COLTON, CA 92324(909) 580-1369 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 29, 2021, Mar 25, 2021 (2 updates tracked since 2021).

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About Phoebe Jen Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOEBE JEN DO (NPI 1013594043) is an individual student in an organized health care education/training program in Colton, California and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1013594043

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NamePHOEBE JENCredential: DO

Location Address400 N PEPPER AVEColton, CA 92324-1801

Mailing Address400 N Pepper AveColton, CA 92324-1801

Phone(909) 580-1369

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 25, 2021

Last NPPES UpdateMarch 29, 20212 updates tracked since enumeration

NPPES CertifiedMarch 29, 2021

✔ NPI 1013594043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

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.

400 N PEPPER AVE, Colton, CA 92324

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Phoebe Jen Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264930767

PECOS Enrollment IDI20250813002672

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHERINE J CALHOUN

Licensed Psychiatric Technician