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Active NPI 1558024570 Individual Practitioner Female Practitioner

Eunice Jill Canonizado Phan , MSN, FNP-BC, FNP-C

Nurse Practitioner • Tustin, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Eunice Jill Phan, MSN, FNP-BC, FNP-C is a certified Nurse Practitioner practicing in Tustin, CA. With approximately 5 years of clinical experience since completing medical education in 2021, Eunice Jill Phan delivers high-quality medical care to the local community at 661 W 1ST ST STE G.

Eunice Jill Phan is affiliated with Memorialcare Medical Foundation and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

661 W 1st St Ste G

Tustin, CA 927802939

Telephone 7146659890
Fax 7146659891
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Tustin, CA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -0.3 yrs vs City Avg
City Avg: 5.3 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
13 Specialists

Practicing in Tustin, CA (8378 Statewide)

Telehealth Adoption Rate
7.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
58.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Phan (5 Years) 5 Yrs
Tustin Specialty Average (5.3 Years) 5.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
24 24 $203.00 $83.91

Medical Specialties & State Licenses

CMS Verified: 2025-10-22
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CA NP95018278

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Memorialcare Medical Foundation

15464 Goldenwest St, Westminster, CA 926836149

Phone: 7148919008

Memorialcare Medical Foundation

722 Baker St, Costa Mesa, CA 926264320

Phone: 7145576300

Secondary Practice Locations

9918 Katella Ave Ste A-C

Anaheim, CA 928046465

Phone: 7146449494

11180 Warner Ave Ste 353

Fountain Valley, CA 927087516

Phone: 7149686789

1818 S State College Blvd

Anaheim, CA 928066053

Phone: 6192086882

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Nicole Noche , NP

Nurse Practitioner - Women's Health

NPI 1003400524

Nurse Practitioner

Crystal Martin , PA

Physician Assistant

NPI 1003577768

Physician Assistant

Eileen Gomez , NP

Nurse Practitioner - Family

NPI 1013704568

Nurse Practitioner

Dr. Robert Borrowdale , MD

Obstetrics & Gynecology

NPI 1013958545

Doctor of Medicine (M.D.)

Carlos Guerrero , PA-C

Physician Assistant

NPI 1023026523

Physician Assistant (Certified)

Leslie Espinoza , LCSW

Social Worker - Clinical

NPI 1023485299

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2025

Nurse Practitioner (License #NP95018278 in CA)

👤
Provider Name / Credentials Updated April 29, 2024

Recorded as EUNICE JILL PHAN, MSN, FNP-BC, FNP-C

📍
Updated Practice Location February 07, 2023

Registered at 661 W 1ST ST STE G, TUSTIN, CA 927802939 (Tel: 7146659890)

NPI Profile Active October 17, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location October 17, 2021

Registered at 1818 S STATE COLLEGE BLVD, ANAHEIM, CA 928066053 (Tel: 6192086882)

📍
Updated Business Mailing Address October 17, 2021

Registered at 1818 S STATE COLLEGE BLVD UNIT 248, ANAHEIM, CA 928068908 (Tel: 6192086882)

👤
Provider Name / Credentials Updated October 17, 2021

Recorded as EUNICE JILL CANONIZADO, MSN, FNP-BC, FNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2021

Nurse Practitioner (License #95018278 in CA)

🟢
Initial NPI Registration & Enumeration October 17, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558024570
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2021
Last Update: October 22, 2025
Sole Proprietor: No

Mailing Address

1818 S State College Blvd Unit 248

Anaheim, CA 928068908

Phone: 6192086882

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.