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JACK NHAN
NPI 1174197131
Physician Assistant in Los Angeles, CA

Active since May 14, 2021PECOS EnrolledAccepts Medicare Assignment
8635 W 3RD ST STE 675, LOS ANGELES, CA 90048(310) 423-5874(310) 423-0139 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2025, Feb 27, 2025, May 14, 2021 (3 updates tracked since 2021).

About Jack Nhan NPPES

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

JACK NHAN (NPI 1174197131) is an individual physician assistant in Los Angeles, California, licensed in California (00000000000000) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Vallejo, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1174197131
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACK NHAN
Location Address8635 W 3RD ST STE 675Los Angeles, CA 90048-6109
Mailing Address4140 W 190th StTorrance, CA 90504-5513 · (310) 423-5874 · Fax (310) 423-0139
Phone(310) 423-5874
Fax(310) 423-0139
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMay 14, 2021
Last NPPES UpdateMarch 5, 20253 updates tracked since enumeration
NPPES CertifiedMarch 5, 2025
✔ NPI 1174197131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 00000000000000
Definition
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.
8635 W 3RD ST STE 675, Los Angeles, CA 90048
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Secondary Practice Location 1

Location 11310 Club DrVallejo, CA 94592-1187 · Phone (707) 638-5809

Other Identifiers 1

Medicaid00000000000000CA

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

Jack Nhan 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 ID4688037435
PECOS Enrollment IDI20230828002563
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
111 services109 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
38 services38 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
26 services26 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
23 services21 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90048 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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 2

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

KAITLIN NICOLE GOODS PA-C
Physician Assistant
8635 W 3RD ST STE 675
LOS ANGELES, CA 90048
Los Angeles County (310) 423-5874
NATALIE NGARIPIN PAC
Physician Assistant
8635 W 3RD ST STE 675
LOS ANGELES, CA 90048
Los Angeles County (310) 423-5874

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 Jack Nhan's NPI number?

The NPI number for Jack Nhan is 1174197131. It was assigned to this individual provider in the NPPES registry on May 14, 2021.

Where is Jack Nhan located?

Jack Nhan practices at 8635 W 3rd St Ste 675, Los Angeles, CA 90048. The listed phone number is (310) 423-5874.

What is Jack Nhan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jack Nhan enrolled in Medicare?

Yes. Jack Nhan 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 Jack Nhan was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.