DR. PENG THIM FAN M.D.
NPI 1104801463
Specialist in North Hollywood, CA

Active since December 09, 2005
12660 RIVERSIDE DR, NORTH HOLLYWOOD, CA 91607(818) 980-7010(818) 980-7330 Get Directions Write a Review

NPPES record last updated: September 26, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Peng Thim Fan M.d. NPPES

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

DR. PENG THIM FAN M.D. (NPI 1104801463) is an individual specialist in North Hollywood, California, licensed in California (A24800) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1104801463
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. PENG THIM FANCredential: M.D.
Location Address12660 RIVERSIDE DRNorth Hollywood, CA 91607-3430
Mailing Address12660 Riverside DrNorth Hollywood, CA 91607-3430 · (818) 980-7010 · Fax (818) 980-7330
Fax(818) 980-7330
Sole ProprietorNo
Enumeration DateDecember 9, 2005
Last NPPES UpdateSeptember 26, 2011
NPI 1104801463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · A24800
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
12660 RIVERSIDE DR, North Hollywood, CA 91607

Other Identifiers 1

Medicare UPINA24140CA

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
89%1,569 patients3/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
92%48 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
93%438 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
91%438 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
22%438 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
36%438 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
12660 RIVERSIDE DR, SUITE 225
NORTH HOLLYWOOD, CA 91607
Non-Pharmacy Dispensing Site
12660 RIVERSIDE DR, SUITE 201
NORTH HOLLYWOOD, CA 91607
Allergy & Immunology
12660 RIVERSIDE DR, SUITE 325
STUDIO CITY, CA 91607
Internal Medicine
12660 RIVERSIDE DR, STE 110
NORTH HOLLYWOOD, CA 91607
Internal Medicine
12660 RIVERSIDE DR, SUITE 225
NORTH HOLLYWOOD, CA 91607
Legal Medicine
12660 RIVERSIDE DR, SUITE 201
NORTH HOLLYWOOD, CA 91607
Internal Medicine
12660 RIVERSIDE DR, STE 310
N HOLLYWOOD, CA 91607
Behavior Technician
12660 RIVERSIDE DR
VALLEY VILLAGE, CA 91607

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 Peng Fan's NPI number?

The NPI number for Peng Fan is 1104801463. It was assigned to this individual provider in the NPPES registry on December 9, 2005.

Where is Peng Fan located?

Peng Fan practices at 12660 Riverside Dr, North Hollywood, CA 91607. The listed phone number is (818) 980-7010.

What is Peng Fan's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Peng Fan was last updated on September 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.