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

Active since March 06, 2026
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: July 19, 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.

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
Sole ProprietorNo
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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386590974, enumerated as an "individual" on March 06, 2026.

The provider is located at 1110 E PHILADELPHIA ST UNIT 1311 ONTARIO, CA 91761 and the phone number is (425) 268-7772.

Physician Assistant with taxonomy code 363A00000X.