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Provider Profile

Jacklynne Phan

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At a glance

About Jacklynne Phan

Jacklynne Phan is a physician assistant based in San Diego, CA. Jacklynne is a 2024 graduate of University of Southern California Keck School of Medicine. The provider's National Provider Identifier (NPI) is 1649904210.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Credentials & Licensing

CA · Physician AssistantPhysician Assistant Board
No. 64777CurrentExpires Oct 2027Since 2024
CA licenceAs reported to the NPI registry
No. PA6777As reported
NPINational Provider Identifier
1649904210Issued 2022

Snapshot · verify with the board ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What is Jacklynne Phan's specialty?

Jacklynne Phan is a physician assistant in San Diego, CA. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where can I find Jacklynne Phan?

Jacklynne Phan is listed at 4282 Genesee Ave Ste 201, San Diego, CA 92117. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact Jacklynne Phan?

The number on file is (858) 746-7882. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Jacklynne Phan's NPI number?

Jacklynne Phan's National Provider Identifier is 1649904210. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

What is Jacklynne Phan's education?

Jacklynne Phan attended University of Southern California Keck School of Medicine, graduating in 2024. This comes from the CMS National Downloadable File.

CMS public data

How long has Jacklynne Phan been practicing?

Jacklynne Phan has 2 years experience. Calculated from a graduation year of 2024, reported in the CMS National Downloadable File.

CMS public data

Has Jacklynne Phan confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Jacklynne Phan. If this is you, claiming it is free.

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