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

Jenny Phan

Individual provider Family Medicine Physician · NPI 1982015210

Jenny Phan is a Family Practice in Moreno Valley, California. Qualified in 2012, 14 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2014
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Practice location Address checks out

26520 Cactus Ave Family Medicine Dept
Moreno Valley, CA 92555-3927
Phone: (951) 486-5593
Fax: (951) 486-5595
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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 20A13101 (CA)

Record details

NPI number1982015210
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 8, 2014
Last updated in NPPESDecember 3, 2021
Mailing address26520 Cactus Ave, Family Medicine Department, Moreno Valley, CA 92555-3927

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2012 (14 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 Moreno Valley