Jacklynne Phan
NPI 1649904210 · Physician Assistant · San Diego, CA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacklynne Phan is a Physician Assistant provider in San Diego, CA (NPI 1649904210).
Provider details
- NPI number
- 1649904210
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- PA6777 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Registry dates
- Enumerated
- 2022-07-11
- Last updated
- 2025-10-28
- Certified
- 2025-10-28
Frequently asked questions
- What is Jacklynne Phan's NPI number?
- Jacklynne Phan's National Provider Identifier (NPI) is 1649904210, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacklynne Phan's specialty?
- Jacklynne Phan is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jacklynne Phan located?
- Jacklynne Phan's practice location on file with NPPES is 4282 Genesee Ave Ste 201, San Diego, CA 92117-4964.
- What is Jacklynne Phan's phone number?
- The practice phone number listed in the NPPES registry for Jacklynne Phan is (858) 746-7882.
- Does Jacklynne Phan accept Medicare?
- Jacklynne Phan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacklynne Phan's NPI active?
- Yes — Jacklynne Phan's NPI (1649904210) is active in the NPPES registry as of the last update on 2025-10-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.