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

Phillip Anthony Jennrich

Individual provider Physician Assistant · NPI 1679064562

Phillip Anthony Jennrich is a Physician Assistant in Fresno, California. Qualified in 2018, 8 years ago. Practices with Community Health Partners, a 505-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2018
Specialties on file
3
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2823 Fresno St
Fresno, CA 93721-1324
Phone: (559) 459-3705
Fax: (559) 459-3720
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 55903 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 55903 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 55903 (CA)

Record details

NPI number1679064562
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 25, 2018
Last updated in NPPESOctober 9, 2020
Certification dateOctober 9, 2020
Mailing address2625 E Divisadero St, Fresno, CA 93721-1431

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Community Health Partners — 505 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Fresno