BONNIE JAN
NPI 1962962795
Family Medicine in Irvine, CA

Active since March 20, 2019PECOS EnrolledAccepts Medicare Assignment
4050 BARRANCA PKWY., STE. 200, IRVINE, CA 92604(949) 551-1090(949) 262-5500 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 22, 2022, Aug 19, 2022, Dec 2, 2021 and 1 more (4 updates tracked since 2019).

About Bonnie Jan NPPES

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

BONNIE JAN (NPI 1962962795) is an individual family medicine provider in Irvine, California, licensed in California (A176345) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1962962795
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameBONNIE JAN
Location Address4050 BARRANCA PKWY., STE. 200Irvine, CA 92604
Mailing Address4050 Barranca Pkwy., Ste. 200Irvine, CA 92604 · (949) 551-1090 · Fax (949) 262-5500
Fax(949) 262-5500
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 20, 2019
Last NPPES UpdateAugust 22, 20224 updates tracked since enumeration
NPPES CertifiedAugust 21, 2022
NPI 1962962795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A176345
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4050 BARRANCA PKWY., STE. 200, Irvine, CA 92604

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

Bonnie Jan 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 ID1254722267
PECOS Enrollment IDI20220901002837
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
147 services78 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
147 services80 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
49 services49 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
38 services38 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
13 services12 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92604 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 (Women's Health)
4050 BARRANCA PKWY., STE. 200
IRVINE, CA 92604
Obstetrics & Gynecology
4050 BARRANCA PKWY., STE. 200
IRVINE, CA 92604

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 Bonnie Jan's NPI number?

The NPI number for Bonnie Jan is 1962962795. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Where is Bonnie Jan located?

Bonnie Jan practices at 4050 Barranca Pkwy., Ste. 200, Irvine, CA 92604. The listed phone number is (949) 551-1090.

What is Bonnie Jan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Bonnie Jan enrolled in Medicare?

Yes. Bonnie Jan 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 Bonnie Jan was last updated on August 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.