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

Eunice Jill Canonizado Phan, MSN, FNP-BC, FNP-C

Individual provider Nurse Practitioner · NPI 1558024570

Eunice Jill Canonizado Phan, MSN, FNP-BC, FNP-C is a Nurse Practitioner in Tustin, California. Qualified in 2021, 5 years ago. Practices with Memorialcare Medical Foundation, a 562-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

661 W 1st St Ste G
Tustin, CA 92780-2939
Phone: (714) 665-9890
Fax: (714) 665-9891
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 9918 Katella Ave Ste A-C, Anaheim, CA 92804-6465 — (714) 644-9494
  • 1818 S State College Blvd, Anaheim, CA 92806-6053 — (619) 208-6882
  • 11180 Warner Ave Ste 353, Fountain Valley, CA 92708-7516 — (714) 968-6789

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence NP95018278 (CA)

Record details

NPI number1558024570
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , FNP-BC , FNP-C
Sole proprietorNo
NPI enumeratedOctober 17, 2021
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Memorialcare Medical Foundation — 562 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Tustin