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

Mrs. Jane Phan, RNP

Individual provider Family Nurse Practitioner · NPI 1194944934

Mrs. Jane Phan, RNP is a Nurse Practitioner in Long Beach, California. Qualified in 2005, 21 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
21
Licensed in
CA
In the registry since
2007
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Practice location Address checks out

1530 E South St
Long Beach, CA 90805-4341
Phone: (562) 984-9200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F1106245 (CA)

Record details

NPI number1194944934
Entity typeIndividual (Type 1)
GenderFemale
Credentials RNP
Sole proprietorYes
NPI enumeratedApril 24, 2007
Last updated in NPPESOctober 4, 2021
Certification dateOctober 4, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 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 Long Beach