Jimmy Phan, M.D.
NPI 1770928962 · Pediatrics Physician · Lake Elsinore, CA
Jimmy Phan, M.D. is a Pediatrics Physician provider in Lake Elsinore, CA (NPI 1770928962).
Provider details
- NPI number
- 1770928962
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 141765 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
13 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$116 across 7 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-05-02
- Last updated
- 2022-01-27
- Certified
- 2022-01-27
Frequently asked questions
- What is Jimmy Phan's NPI number?
- Jimmy Phan's National Provider Identifier (NPI) is 1770928962, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jimmy Phan's specialty?
- Jimmy Phan is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Jimmy Phan located?
- Jimmy Phan's practice location on file with NPPES is 425 Diamond Dr Ste 103, Lake Elsinore, CA 92530-4495.
- What is Jimmy Phan's phone number?
- The practice phone number listed in the NPPES registry for Jimmy Phan is (951) 981-3122.
- Is Jimmy Phan's NPI active?
- Yes — Jimmy Phan's NPI (1770928962) 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.