Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jamie Phan Phung, PA-C

Individual provider Physician Assistant · NPI 1386590974

Jamie Phan Phung, PA-C is a Physician Assistant in Ontario, California. Graduated from Loma Linda University School of Medicine in 2025, 1 year ago. Licensed in California.

Years since qualifying
1
Trained at
Loma Linda University School of Medicine
Licensed in
CA
In the registry since
2026
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1110 E Philadelphia St Unit 1311
Ontario, CA 91761-4814
Phone: (425) 268-7772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (CA)

Record details

NPI number1386590974
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 6, 2026
Last updated in NPPESMarch 6, 2026
Certification dateMarch 6, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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