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

Active since April 24, 2007PECOS EnrolledAccepts Medicare Assignment
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: August 02, 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 and is a graduate of Other (2005).

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
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
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

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

Mrs. Jane Phan Rnp 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 ID446432397
PECOS Enrollment IDI20110314000586
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 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.

Nurse Practitioner (Family)
1530 E SOUTH ST
LONG BEACH, CA 90805
Family Medicine
1530 E SOUTH ST
LONG BEACH, CA 90805

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 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 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 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.