JASON PHAN FNP NPI 1093229338

NPI Information

NPI: 1093229338
Provider Name: JASON PHAN, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
22224 LA PALMA AVE STE A
YORBA LINDA, CA
ZIP 92887
Phone: (714) 692-7139
Get Directions

Jason Phan, FNP is a family nurse practitioner in Yorba Linda, CA. Jason Phan, FNP NPI is 1093229338. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

22224 LA PALMA AVE STE A
YORBA LINDA, CA
ZIP 92887-819
Phone: (714) 692-7139

The enumeration date for this NPI number is 11/23/2017 and was last updated on 11/23/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	95005714	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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