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JAMIE PHAN PHUNG PA-C
NPI 1386590974
Physician Assistant in Ontario, CA

Active since March 06, 2026PECOS Enrolled
1110 E PHILADELPHIA ST UNIT 1311, ONTARIO, CA 91761(425) 268-7772 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jamie Phan Phung Pa-c NPPES

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

JAMIE PHAN PHUNG PA-C (NPI 1386590974) is an individual physician assistant in Ontario, California and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2025).

NPPES Registry Identity

NPI1386590974
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJAMIE PHAN PHUNGCredential: PA-C
Location Address1110 E PHILADELPHIA ST UNIT 1311Ontario, CA 91761-4814
Mailing Address1110 E Philadelphia St Unit 1311Ontario, CA 91761-4814 · (425) 268-7772
Phone(425) 268-7772
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2025
Enumeration DateMarch 6, 2026
NPPES CertifiedMarch 6, 2026
✔ NPI 1386590974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
1110 E PHILADELPHIA ST UNIT 1311, Ontario, CA 91761
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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 (PECOS)

Jamie Phan Phung Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375007347
PECOS Enrollment IDI20260710000732
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 91761 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

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 Jamie Phung's NPI number?

The NPI number for Jamie Phung is 1386590974. It was assigned to this individual provider in the NPPES registry on March 6, 2026.

Where is Jamie Phung located?

Jamie Phung practices at 1110 E Philadelphia St Unit 1311, Ontario, CA 91761. The listed phone number is (425) 268-7772.

What is Jamie Phung's specialty?

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

Is Jamie Phung enrolled in Medicare?

Yes. Jamie Phung is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jamie Phung was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.