Doctor profile · Federal record
Dr. Jimmy Phan, M.D.
Pediatrics Physician · Lake Elsinore, CA
- NPI 1770928962
- 13 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
425 Diamond Dr Ste 103
Lake Elsinore, CA 925304495
(951) 981-3122
fax (951) 981-3123
Credentials & registration
- NPI registered
- May 2013 — 13 yrs on file
- Profile last updated
- January 27, 2022
- Specialty taxonomy
- 208000000X — NUCC code
- State license (1)
- California #141765
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1770928962. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$116
Transactions
7
Manufacturers
5
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Cranial Technologies, INC | 3 | $45.27 | |
| Sanofi Pasteur INC. | 1 | $23.44 | |
| Merck Sharp & Dohme LLC | 1 | $17.07 | |
| Phadia US INC. | 1 | $15.60 | |
| Sobi, INC | 1 | $14.80 |
By nature of payment
Frequently asked questions
What is Dr. Jimmy Phan's medical specialty?
Dr. Jimmy Phan practices Pediatrics Physician in Lake Elsinore, CA.
Where does Dr. Jimmy Phan practice?
Dr. Jimmy Phan practices at 425 Diamond Dr Ste 103, Lake Elsinore, CA 925304495. Office phone: 9519813122.
What is Dr. Jimmy Phan's NPI?
Dr. Jimmy Phan's National Provider Identifier (NPI) is 1770928962, issued by NPPES.