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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JENNIFER PHAN
NPI 1942123187
Student in an Organized Health Care Education/Training Program in San Rafael, CA

Active since August 04, 2026
50 ACACIA AVE, SAN RAFAEL, CA 94901(415) 457-4440 Get Directions Write a Review

NPPES record added: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Phan NPPES

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

JENNIFER PHAN (NPI 1942123187) is an individual student in an organized health care education/training program in San Rafael, California and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1942123187
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJENNIFER PHAN
Location Address50 ACACIA AVESan Rafael, CA 94901-2230
Mailing Address5 Cresta Cir Apt 5San Rafael, CA 94903-1911 · (714) 386-8855
Phone(415) 457-4440
Sole ProprietorNo
Enumeration DateAugust 4, 2026
NPPES CertifiedAugust 4, 2026
✔ NPI 1942123187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
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.
50 ACACIA AVE, San Rafael, CA 94901
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Other Providers at the Same Location NPPES 20

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

MIGUEL SERRATO ATC OT-C
Physician Assistant
50 ACACIA AVE
SAN RAFAEL, CA 94901
Marin County (415) 457-4440
MICHELLE MOTA
Student in an Organized Health Care Education/Training Program
50 ACACIA AVE
SAN RAFAEL, CA 94901
Marin County (415) 457-4440
THI TRAN PA-C
Physician Assistant
50 ACACIA AVE
SAN RAFAEL, CA 94901
Marin County (415) 457-4440
EMILY GAO
Student in an Organized Health Care Education/Training Program
50 ACACIA AVE
SAN RAFAEL, CA 94901
Marin County (415) 457-4440
TRICIA HO
Student in an Organized Health Care Education/Training Program
50 ACACIA AVE
SAN RAFAEL, CA 94901
Marin County (415) 457-4440
CHANTILAY RUFFIN
Physician Assistant
50 ACACIA AVE, MEADOWLANDS 302
SAN RAFAEL, CA 94901
Marin County (415) 482-3571
HANA HUSSEIN
Student in an Organized Health Care Education/Training Program
50 ACACIA AVE
SAN RAFAEL, CA 94901
Marin County (415) 457-4440
AMANDA MURPHY
Student in an Organized Health Care Education/Training Program
50 ACACIA AVE
SAN RAFAEL, CA 94901
Marin County (415) 457-4440

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 Jennifer Phan's NPI number?

The NPI number for Jennifer Phan is 1942123187. It was assigned to this individual provider in the NPPES registry on August 4, 2026.

Where is Jennifer Phan located?

Jennifer Phan practices at 50 Acacia Ave, San Rafael, CA 94901. The listed phone number is (415) 457-4440.

What is Jennifer Phan's specialty?

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

When was this NPI record last updated?

The NPPES record for Jennifer Phan was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.