Dr. Jimmy Phan Medical Corporation
NPI 1144989385 · Pediatrics Physician · Lake Elsinore, CA
Dr. Jimmy Phan Medical Corporation is a Pediatrics Physician organization in Lake Elsinore, CA (NPI 1144989385).
Provider details
- NPI number
- 1144989385
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jimmy Phan, Ceo(714) 232-9493
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Lake Elsinore Pediatrics
Registry dates
- Enumerated
- 2021-12-15
- Last updated
- 2022-01-27
- Certified
- 2022-01-27
Frequently asked questions
- What is Dr. Jimmy Phan Medical Corporation's NPI number?
- Dr. Jimmy Phan Medical Corporation's National Provider Identifier (NPI) is 1144989385, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dr. Jimmy Phan Medical Corporation?
- Dr. Jimmy Phan Medical Corporation is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Dr. Jimmy Phan Medical Corporation located?
- Dr. Jimmy Phan Medical Corporation's practice location on file with NPPES is 425 Diamond Dr Ste 103, Lake Elsinore, CA 92530-4495.
- What is Dr. Jimmy Phan Medical Corporation's phone number?
- The practice phone number listed in the NPPES registry for Dr. Jimmy Phan Medical Corporation is (951) 981-3122.
- Who is the authorized official for Dr. Jimmy Phan Medical Corporation?
- The authorized official listed on Dr. Jimmy Phan Medical Corporation's NPPES record is Jimmy Phan, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dr. Jimmy Phan Medical Corporation's NPI active?
- Yes — Dr. Jimmy Phan Medical Corporation's NPI (1144989385) is active in the NPPES registry as of the last update on 2022-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.