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RAYMOND FANG
NPI 1073096194
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since September 13, 2018
4077 FIFTH AVE # MER-35, SAN DIEGO, CA 92103(619) 260-7220 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 30, 2026, Sep 13, 2018 (2 updates tracked since 2018).

About Raymond Fang NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAYMOND FANG (NPI 1073096194) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1073096194
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRAYMOND FANG
Location Address4077 FIFTH AVE # MER-35San Diego, CA 92103-2105
Mailing Address4077 Fifth Ave # Mer-35San Diego, CA 92103-2105 · (619) 260-7220
Phone(619) 260-7220
Sole ProprietorNo
Enumeration DateSeptember 13, 2018
Last NPPES UpdateMarch 30, 20262 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
✔ NPI 1073096194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4077 FIFTH AVE # MER-35, San Diego, CA 92103
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EMILY KOLYVAS MD, PHD
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
San Diego County (619) 260-7220
BRIDGET OBRIEN
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
San Diego County (619) 260-7220
KAREN RODRIGUEZ MD
Military Health Care Provider
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
San Diego County (619) 260-7220
ABIGAIL LOUISE MACKENZIE MD
Internal Medicine
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
San Diego County (000) 000-0000
LUKE JOHANNES IRWIN MD
Internal Medicine
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
San Diego County (805) 405-9192
DR. DYLAN CHRISTOPHER TOOKEY MD
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
San Diego County (310) 995-1419
MADELINE NGO
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
San Diego County (619) 260-7220
MEGHAN MCADAMS
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
San Diego County (619) 260-7220

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raymond Fang's NPI number?

The NPI number for Raymond Fang is 1073096194. It was assigned to this individual provider in the NPPES registry on September 13, 2018.

Where is Raymond Fang located?

Raymond Fang practices at 4077 Fifth Ave # Mer-35, San Diego, CA 92103. The listed phone number is (619) 260-7220.

What is Raymond Fang's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Raymond Fang was last updated on March 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.