Individual provider Active NPI

Jeffrey Allen Zhan, PA-C

  • Physician Assistant
  • Long Beach, CA
National Provider Identifier
1295371532
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2317 Issued in NV
Practice address
1703 Termino Ave Ste 108
Long Beach, CA 90804-2126
Phone
(562) 498-2481
Fax
(562) 494-6651
NPI assigned
Nov 21, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 61001118 WA
Surgical Physician Assistant 363AS0400X PA61001118 WA
Physician Assistant 363A00000X PA2317 NV Primary
Medical Physician Assistant 363AM0700X PA61633 CA

Addresses

Primary practice location

1703 Termino Ave Ste 108
Long Beach, CA 90804-2126

Mailing address

1703 Termino Ave Ste 108
Long Beach, CA 90804-2126
Phone (562) 498-2481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230817004033 CA Practitioner - Physician Assistant 4880022011 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael Tehrani MD ApcGroup PAC ID 7810204575, 9 clinicians
Mary Gessner-Peterson Medical Group IncGroup PAC ID 1658526637, 4 clinicians

Practice addresses (Care Compare)

1703 Termino Ave
Suite 108
Long Beach, CA 90804-2126
Phone (562) 498-2481

1832 Alpine Blvd
Suite B
Alpine, CA 91901-2107
Phone (978) 994-1766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61001118WAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grossmont Hospital Corporation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jeffrey.zhan.1@12903.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1295371532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 TERMINO AVE STE 108",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042126",
            "telephone_number": "562-498-2481",
            "fax_number": "562-494-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 TERMINO AVE STE 108",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042126",
            "telephone_number": "562-498-2481",
            "fax_number": "562-494-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHAN",
        "first_name": "JEFFREY",
        "middle_name": "ALLEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-21",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WA",
            "license": "61001118",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WA",
            "license": "PA61001118",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA2317",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA61633",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.