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CAMERON PHEN
NPI 1750072435
Student in an Organized Health Care Education/Training Program in Lincoln, CA

Active since May 15, 2023PECOS Enrolled
688 CABRA ST, LINCOLN, CA 95648(916) 899-8386 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2024, Apr 2, 2024, May 15, 2023 (3 updates tracked since 2023).

About Cameron Phen NPPES

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

CAMERON PHEN (NPI 1750072435) is an individual student in an organized health care education/training program in Lincoln, California, licensed in Illinois (019.035342) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750072435
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCAMERON PHEN
Location Address688 CABRA STLincoln, CA 95648-8841
Mailing Address688 Cabra StLincoln, CA 95648-8841
Phone(916) 899-8386
Sole ProprietorNo
Enumeration DateMay 15, 2023
Last NPPES UpdateJuly 9, 20243 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1750072435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in IL · 019.035342
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License D11858 (OR)
688 CABRA ST, Lincoln, CA 95648
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cameron Phen 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.

Other Providers at the Same Location NPPES

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

DR. JORDAN PHEN DDS
Dentist
688 CABRA ST
LINCOLN, CA 95648
Placer County (916) 878-1755

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 Cameron Phen's NPI number?

The NPI number for Cameron Phen is 1750072435. It was assigned to this individual provider in the NPPES registry on May 15, 2023.

Where is Cameron Phen located?

Cameron Phen practices at 688 Cabra St, Lincoln, CA 95648. The listed phone number is (916) 899-8386.

What is Cameron Phen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Cameron Phen enrolled in Medicare?

Yes. Cameron Phen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cameron Phen was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.