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JEANINE PHAN D.O.
NPI 1083994487
Family Medicine - Geriatric Medicine in San Jose, CA

Active since August 17, 2011PECOS EnrolledAccepts Medicare Assignment
275 HOSPITAL PKWY, SUITE 325, SAN JOSE, CA 95119(408) 972-3000 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 15, 2021, Feb 10, 2016 (2 updates tracked since 2016).

About Jeanine Phan D.o. NPPES

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

JEANINE PHAN D.O. (NPI 1083994487) is an individual geriatric medicine provider in San Jose, California, licensed in California (20A12447) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1083994487
Entity TypeIndividualFemale
Primary Taxonomy207QG0300X
Provider Legal NameJEANINE PHANCredential: D.O.
Location Address275 HOSPITAL PKWY, SUITE 325San Jose, CA 95119-1106
Mailing Address275 Hospital Pkwy, Suite 325San Jose, CA 95119-1106 · (408) 972-3000
Phone(408) 972-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 17, 2011
Last NPPES UpdateDecember 15, 20212 updates tracked since enumeration
✔ NPI 1083994487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in CA · 20A12447
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
275 HOSPITAL PKWY, San Jose, CA 95119
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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

Jeanine Phan D.o. 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 ID7911209028
PECOS Enrollment IDI20160106002467
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95119 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JESSICA KAO DO
Student in an Organized Health Care Education/Training Program
275 HOSPITAL PKWY
SAN JOSE, CA 95119
Santa Clara County (408) 972-7160
JENNY CHEN DO
Family Medicine
275 HOSPITAL PKWY
SAN JOSE, CA 95119
Santa Clara County (408) 972-7559
SIRENA O LOUIE
Pharmacist
275 HOSPITAL PKWY
SAN JOSE, CA 95119
Santa Clara County (408) 363-4539
MS. SEEMA NARAN PATEL MSW
Social Worker
275 HOSPITAL PKWY, SUITE 865
SAN JOSE, CA 95119
Santa Clara County (408) 972-6788
VY LE
Pharmacist
275 HOSPITAL PKWY
SAN JOSE, CA 95119
Santa Clara County (408) 972-7000
JANE SUL GO RPH
Pharmacist
275 HOSPITAL PKWY
SAN JOSE, CA 95119
Santa Clara County (818) 923-4633
KAISER PERMANENTE
Health Maintenance Organization
275 HOSPITAL PKWY, SUITE NUMBER 370
SAN JOSE, CA 95119
Santa Clara County (408) 972-3366
JESSICA LEANG PHARM.D., BCPS
Pharmacist
275 HOSPITAL PKWY
SAN JOSE, CA 95119
Santa Clara County (408) 972-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeanine Phan's NPI number?

The NPI number for Jeanine Phan is 1083994487. It was assigned to this individual provider in the NPPES registry on August 17, 2011.

Where is Jeanine Phan located?

Jeanine Phan practices at 275 Hospital Pkwy Suite 325, San Jose, CA 95119. The listed phone number is (408) 972-3000.

What is Jeanine Phan's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Jeanine Phan enrolled in Medicare?

Yes. Jeanine Phan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jeanine Phan was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.