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MRS. JANE PHAN RNP
NPI 1194944934
Nurse Practitioner - Family in Long Beach, CA

Active since April 24, 2007PECOS Enrolled
1530 E SOUTH ST, LONG BEACH, CA 90805(562) 984-9200 Get Directions Write a Review

NPPES record last updated: October 4, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Jane Phan Rnp NPPES

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

MRS. JANE PHAN RNP (NPI 1194944934) is an individual family provider in Long Beach, California, licensed in California (F1106245) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194944934
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JANE PHANCredential: RNP
Location Address1530 E SOUTH STLong Beach, CA 90805-4341
Mailing Address731 S Goldfinch WayAnaheim, CA 92807-4419 · (714) 281-2260
Phone(562) 984-9200
Sole ProprietorYes
Enumeration DateApril 24, 2007
Last NPPES UpdateOctober 4, 2021
NPPES CertifiedOctober 4, 2021
✔ NPI 1194944934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · F1106245
1530 E SOUTH ST, Long Beach, CA 90805
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jane Phan Rnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Jane Phan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
3.8 mi
Health Maintenance Organization
9400 ROSECRANS AVE
Bellflower, CA 90706
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1043242555 (562) 461-3000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90805 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
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 2

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

SAMIA HOLMAN NP
Nurse Practitioner (Family)
1530 E SOUTH ST
LONG BEACH, CA 90805
Los Angeles County (562) 984-9200
SOUTH MEDICAL GROUP
Family Medicine
1530 E SOUTH ST
LONG BEACH, CA 90805
Los Angeles County (562) 984-9200

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 Jane Phan's NPI number?

The NPI number for Jane Phan is 1194944934. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Where is Jane Phan located?

Jane Phan practices at 1530 E South St, Long Beach, CA 90805. The listed phone number is (562) 984-9200.

What is Jane Phan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jane Phan enrolled in Medicare?

Yes. Jane Phan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jane Phan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jane Phan reassigns Medicare benefits to Southern California Permanente Medical Group (Bellflower, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jane Phan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jane Phan was last updated on October 4, 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.