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

Maxwell Jen, MD

Individual provider Emergency Medicine Physician · NPI 1154688810

Maxwell Jen, MD is an Emergency Medicine in Tustin, California. Graduated from University of California, San Francisco School of Medicine in 2012, 14 years ago. Practices with Regents of the University Of, a 125-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
14
Trained at
University of California, San Francisco School of Medicine
Licensed in
CA
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

17400 Irvine Blvd Ste N
Tustin, CA 92780-3030
Phone: (111) 111-1111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 333 City Blvd W, Orange, CA 92868-2903 — (714) 456-5922

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence A130209 (CA)

Record details

NPI number1154688810
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 19, 2012
Last updated in NPPESDecember 6, 2021
Certification dateAugust 18, 2020
Mailing address24060 Fir Ave Ste A-1, Moreno Valley, CA 92553-2895

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Also practisesGENERAL PRACTICE
Medical schoolUNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Regents Of The University Of — 125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Tustin