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

Jenny Phan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1730668757

Jenny Phan is a Clinical Social Worker in Hemet, California. Qualified in 2020, 6 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

1105 E Florida Ave
Hemet, CA 92543-4512
Phone: (951) 439-2939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1556 S Sultana Ave, Ontario, CA 91761-4238 — (909) 418-6923

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1730668757
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 9, 2018
Last updated in NPPESOctober 25, 2024
Certification dateAugust 27, 2021
Mailing address1105 E Florida Ave, Hemet, CA 92543-4512

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Hemet