Jacklynne Phan
Physician Assistant · San Diego, CA
Jacklynne Phan is a physician assistant with a practice address in San Diego, California, and NPI 1649904210, issued on Jul 11, 2022. Check the license (California PA6777, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jacklynne Phan
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- PA6777 CA
Self-reported in NPPES; status is on the state search - Practice location
- 4282 Genesee Ave Ste 201, San Diego, CA 92117
- Phone
- (858) 746-7882
- Enumerated
- Jul 11, 2022
- Record last updated
- Oct 28, 2025
- Fax
- (858) 505-1918
- Medicare enrollment
- Enrolled (PECOS I20241218001175); accepts Medicare assignment
- Medical or professional school
- University Of Southern California Keck School Of Medicine, 2024
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 14,451 in California → Look up another NPI →
Also registered at 4282 Genesee Ave Ste 201
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Diego Mendez, M.D.Obstetrics & Gynecology Physician1437181922
Verify Jacklynne Phan in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this profession
Search for license PA6777Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Sunset Ent IncSan Diego, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jacklynne Phan among 14,451 physician assistant records in California
Jacklynne Phan is one of 14,451 physician assistant records with a practice address in California. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2022, is newer than 73% of them.
- NPI issued2022 · 73% of these records are older, 20% newer
- In a Medicare fileYes · 75% of these records are
- In the CMS Doctors and Clinicians fileYes · 50% of these records are
- Graduated2024 · median 2018 among the 7,214 with a school on file
- Record last updated2025 · 40% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
747 physician assistant records list a practice address in San Diego
They are 747 of the 52,937 NPPES records with a practice address in San Diego, and 14,451 physician assistant records in California.
All 14,451 in California → Every provider in San Diego → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Trevor BrownSan Diego, CA 921171558115691
- Laura Crites, PA-CSan Diego, CA 921171780272591
- Erik Duque, PA-CSan Diego, CA 921171588260780
- Vanessa HoangSan Diego, CA 921171912867110
- Justin HsuSan Diego, CA 921171619822806
- Vivian Lee, PASan Diego, CA 921171558943555
- Jake Perkins, PA-CSan Diego, CA 921171386288686
- Brooklyn Bowcut, PA-SSan Diego, CA 921161871177568
Common questions
What is Jacklynne Phan's NPI number?
Jacklynne Phan's National Provider Identifier (NPI) is 1649904210, issued on Jul 11, 2022. An NPI identifies a provider in billing; it is not a license.
Where is Jacklynne Phan located?
The NPPES record lists a practice address at 4282 Genesee Ave Ste 201, San Diego, CA, 92117. Phone: (858) 746-7882. Providers update this record themselves, so call before visiting.
How can I verify Jacklynne Phan's license?
NPPES lists California license number PA6777, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.