Jackie Phan (NPI# 1225277817, PAC ID# 4688815665) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1225277817 |
| PAC ID by PECOS | 4688815665 |
| Professional Enrollment ID | I20130802000663 |
| Full Name | Jackie Phan |
| Organization Legal Name | JOHN MUIR TRAUMA PHYSICIANS BILLING SERVICE |
| Address |
1601 Ygnacio Vly Rd Walnut Creek CA 94596-0921 |
| Gender | F |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 3476542515 |
| Number of Group Practice Members | 97 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050180 | JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS |
| 050496 | JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 901 Campus Dr, Suite 102, Daly City, CA 94015-4930 | 6509912303 | MEDICAL ANESTHESIA CONSULTANTS MEDICAL GROUP INC |
| 1601 Ygnacio Valley Rd, Suite 100, Walnut Creek, CA 94598-3122 | 9259393000 | JOHN MUIR TRAUMA PHYSICIANS BILLING SERVICE |
| 1601 Ygnacio Vly Rd, Walnut Creek, CA 94596-0921 | JOHN MUIR TRAUMA PHYSICIANS BILLING SERVICE |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| QCDR_EC_ABG21_overall | Pre-operative OSA assessment | 49% |
| Organization Legal Name | JOHN MUIR TRAUMA PHYSICIANS BILLING SERVICE |
| Physicians | 84 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Evan M Sirc | Nuclear Medicine | John Muir Trauma Physicians Billing Service | 1601 Ygnacio Vly Rd, Walnut Creek, CA 94596-0921 |
| Sukhjinder S Brah | Hospitalist | John Muir Trauma Physicians Billing Service | 1601 Ygnacio Vly Rd, Walnut Creek, CA 94596-0921 |
| Moyra Nazneen Rasheed | Internal Medicine | John Muir Trauma Physicians Billing Service | 1601 Ygnacio Vly Rd, Walnut Creek, CA 94596-0921 |
| Viviane Alfandary | Internal Medicine | John Muir Trauma Physicians Billing Service | 1601 Ygnacio Vly Rd, Walnut Creek, CA 94596-0921 |
| Sunil Gandhi | Diagnostic Radiology | John Muir Trauma Physicians Billing Service | 1601 Ygnacio Vly Rd, Walnut Creek, CA 94596-0921 |
| Neetu Gakhar | Internal Medicine | John Muir Trauma Physicians Billing Service | 1601 Ygnacio Vly Rd, Walnut Creek, CA 94596-0921 |
| Betsy A Jacobs | Internal Medicine | John Muir Trauma Physicians Billing Service | 1601 Ygnacio Vly Rd, Walnut Creek, CA 94596-0921 |
| Eric M Chen | Diagnostic Radiology | John Muir Trauma Physicians Billing Service | 1601 Ygnacio Vly Rd, Walnut Creek, CA 94596-0921 |
| Aalok B Turakhia | Diagnostic Radiology | John Muir Trauma Physicians Billing Service | 1601 Ygnacio Vly Rd, Walnut Creek, CA 94596-0921 |
| Wendy Patton | Diagnostic Radiology | John Muir Trauma Physicians Billing Service | 1601 Ygnacio Vly Rd, Walnut Creek, CA 94596-0921 |
| Street Address |
1601 YGNACIO VLY RD |
| City | WALNUT CREEK |
| State | CA |
| Zip | 94596-0921 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Evan M Sirc | Nuclear Medicine | John Muir Trauma Physicians Billing Service | 1601 Ygnacio Vly Rd, Walnut Creek, CA 94596-0921 |
| Sukhjinder S Brah | Hospitalist | John Muir Trauma Physicians Billing Service | 1601 Ygnacio Vly Rd, Walnut Creek, CA 94596-0921 |
| Moyra Nazneen Rasheed | Internal Medicine | John Muir Trauma Physicians Billing Service | 1601 Ygnacio Vly Rd, Walnut Creek, CA 94596-0921 |
| Viviane Alfandary | Internal Medicine | John Muir Trauma Physicians Billing Service | 1601 Ygnacio Vly Rd, Walnut Creek, CA 94596-0921 |
| Sunil Gandhi | Diagnostic Radiology | John Muir Trauma Physicians Billing Service | 1601 Ygnacio Vly Rd, Walnut Creek, CA 94596-0921 |
| Neetu Gakhar | Internal Medicine | John Muir Trauma Physicians Billing Service | 1601 Ygnacio Vly Rd, Walnut Creek, CA 94596-0921 |
| Betsy A Jacobs | Internal Medicine | John Muir Trauma Physicians Billing Service | 1601 Ygnacio Vly Rd, Walnut Creek, CA 94596-0921 |
| Eric M Chen | Diagnostic Radiology | John Muir Trauma Physicians Billing Service | 1601 Ygnacio Vly Rd, Walnut Creek, CA 94596-0921 |
| Aalok B Turakhia | Diagnostic Radiology | John Muir Trauma Physicians Billing Service | 1601 Ygnacio Vly Rd, Walnut Creek, CA 94596-0921 |
| Wendy Patton | Diagnostic Radiology | John Muir Trauma Physicians Billing Service | 1601 Ygnacio Vly Rd, Walnut Creek, CA 94596-0921 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Tu | Diagnostic Radiology | John Muir Trauma Physicians Billing Service | 1601 Ygnacio Vly Rd, Walnut Creek, CA 94596-0921 |
| Ronald Chan | Diagnostic Radiology | John Muir Trauma Physicians Billing Service | 1601 Ygnacio Vly Rd, Walnut Creek, CA 94596-0921 |
| Ruby Chang | Diagnostic Radiology | John Muir Trauma Physicians Billing Service | 1601 Ygnacio Vly Rd, Walnut Creek, CA 94596-0921 |
| Wilson B Chwang | Diagnostic Radiology | John Muir Trauma Physicians Billing Service | 1601 Ygnacio Vly Rd, Walnut Creek, CA 94596-0921 |
| Ashwin Seetharamadoss Kadaramand Doss | Hospitalist | John Muir Trauma Physicians Billing Service | 1601 Ygnacio Vly Rd, Walnut Creek, CA 94596-0921 |
| Maxwell Bartos Merkow | Neurosurgery | John Muir Trauma Physicians Billing Service | 1601 Ygnacio Vly Rd, Walnut Creek, CA 94596-0921 |
| Sonia Jhurani | Internal Medicine | John Muir Trauma Physicians Billing Service | 1601 Ygnacio Vly Rd, Walnut Creek, CA 94596-0921 |
| Jennifer Decolongon | Family Medicine | John Muir Trauma Physicians Billing Service | 1601 Ygnacio Vly Rd, Walnut Creek, CA 94596-0921 |
| Zahra Shirmohammadi | Internal Medicine | John Muir Trauma Physicians Billing Service | 1601 Ygnacio Vly Rd, Walnut Creek, CA 94596-0921 |
| Mita H Panchal | Internal Medicine | John Muir Trauma Physicians Billing Service | 1601 Ygnacio Vly Rd, Walnut Creek, CA 94596-0921 |
| Find all physicians in zip 94596 | |||
| City | WALNUT CREEK |
| Zip Code | 94596 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | WALNUT CREEK + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Jackie Phan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.