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TINGTING FAN
NPI 1194554220
Nurse Practitioner - Family in Ontario, CA

Active since July 29, 2024
2458 E SALEM ST, ONTARIO, CA 91761(626) 679-7911 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tingting Fan NPPES

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

TINGTING FAN (NPI 1194554220) is an individual family provider in Ontario, California, licensed in California (F05240542) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1194554220
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTINGTING FAN
Location Address2458 E SALEM STOntario, CA 91761-3888
Mailing Address3191 W Temple AvePomona, CA 91768-3287 · (909) 895-3299
Phone(626) 679-7911
Sole ProprietorNo
Enumeration DateJuly 29, 2024
Last NPPES UpdateJanuary 14, 2025
NPPES CertifiedJanuary 14, 2025
✔ NPI 1194554220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · F05240542
2458 E SALEM ST, Ontario, CA 91761
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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 Tingting Fan's NPI number?

The NPI number for Tingting Fan is 1194554220. It was assigned to this individual provider in the NPPES registry on July 29, 2024.

Where is Tingting Fan located?

Tingting Fan practices at 2458 E Salem St, Ontario, CA 91761. The listed phone number is (626) 679-7911.

What is Tingting Fan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Tingting Fan was last updated on January 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.