HOLLY K FANNING PA
NPI 1104387448
Physician Assistant - Medical in La Jolla, CA
About Holly K Fanning Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLLY K FANNING PA (NPI 1104387448) is an individual medical provider in La Jolla, California, licensed in California (PA60834) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Henrico Doctors' Hospital, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Holly K Fanning Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Henrico Doctors' Hospital
Acute Care Hospitals · Richmond, VAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LA JOLLA, CA 92037
LA JOLLA, CA 92037
LA JOLLA, CA 92037
LA JOLLA, CA 92037
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 Holly Fanning's NPI number?
The NPI number for Holly Fanning is 1104387448. It was assigned to this individual provider in the NPPES registry on March 28, 2019.
Where is Holly Fanning located?
Holly Fanning practices at 10666 N Torrey Pines Rd, La Jolla, CA 92037. The listed phone number is (858) 554-7909.
What is Holly Fanning's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Holly Fanning enrolled in Medicare?
Yes. Holly Fanning is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Holly Fanning affiliated with any hospitals?
According to CMS data, Holly Fanning is affiliated with Henrico Doctors' Hospital.
When was this NPI record last updated?
The NPPES record for Holly Fanning was last updated on January 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Holly K Fanning, PA · NPI 1104387448
Medical physician in La Jolla, California. Individual provider, active in the CMS NPPES registry since March 28, 2019.
## Identity
- **NPI:** 1104387448 (Entity type: Individual)
- **Enumerated:** March 28, 2019
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA60834 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 10666 N TORREY PINES RD, La Jolla, CA 92037-1027
- **Phone:** (858) 554-7909
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** January 4, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1104387448) · Data from the CMS NPPES public registry.