Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Phillip Anthony Jennrich

Individual provider Physician Assistant · NPI 1679064562

Phillip Anthony Jennrich is a Physician Assistant in Fresno, California. Qualified in 2018, 8 years ago. Practices with Community Health Partners, a 505-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

2823 Fresno St
Fresno, CA 93721-1324
Phone: (559) 459-3705
Fax: (559) 459-3720
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 55903 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 55903 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 55903 (CA)

Record details

NPI number1679064562
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 25, 2018
Last updated in NPPESOctober 9, 2020
Certification dateOctober 9, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Community Health Partners — 505 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Fresno