Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bonnie Jan

Individual provider Family Medicine Physician · NPI 1962962795

Bonnie Jan is a Family Practice in Irvine, California. Qualified in 2019, 7 years ago. Practices with Memorialcare Medical Foundation, a 562-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2019
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Practice location Address checks out

4050 Barranca Pkwy Ste 200
Irvine, CA 92604
Phone: (949) 551-1090
Fax: (949) 262-5500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A176345 (CA)

Record details

NPI number1962962795
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 20, 2019
Last updated in NPPESAugust 22, 2022
Certification dateAugust 21, 2022
Mailing address4050 Barranca Pkwy., Ste. 200, Irvine, CA 92604

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Memorialcare Medical Foundation — 562 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Irvine