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CALVIN FANG
NPI 1245179209
Student in an Organized Health Care Education/Training Program in Seattle, WA

Active since March 26, 2026PECOS Enrolled
1550 NORTH 115TH STREET, BOX 358828, SEATTLE, WA 98133(206) 543-6577 Get Directions Write a Review

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

About Calvin Fang NPPES

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

CALVIN FANG (NPI 1245179209) is an individual student in an organized health care education/training program in Seattle, Washington and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245179209
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCALVIN FANG
Location Address1550 NORTH 115TH STREET, BOX 358828Seattle, WA 98133-9733
Mailing Address1550 North 115th Street, Box 358828Seattle, WA 98133-9733
Phone(206) 543-6577
Sole ProprietorNo
Enumeration DateMarch 26, 2026
NPPES CertifiedMarch 26, 2026
✔ NPI 1245179209 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.
1550 NORTH 115TH STREET, Seattle, WA 98133
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Calvin Fang is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

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

JOSE HILL RRT
Respiratory Therapist, Registered (Critical Care)
1550 NORTH 115TH STREET, MAIN HOSPITAL
SEATTLE, WA 98133
King County (206) 668-1855
UW MEDICINE NORTHWEST
Psychiatric Unit
1550 NORTH 115TH STREET, MAIL STOP PZ 506
SEATTLE, WA 98133
King County (206) 364-0500
JOHN YANG
Student in an Organized Health Care Education/Training Program
1550 NORTH 115TH STREET, BOX 358828
SEATTLE, WA 98133
King County (206) 543-6577
UW MEDICINE NORTHWEST
General Acute Care Hospital
1550 NORTH 115TH STREET
SEATTLE, WA 98133
King County (206) 364-0500
UW MEDICINE NORTHWEST
Rehabilitation Unit
1550 NORTH 115TH STREET
SEATTLE, WA 98133
King County (206) 364-0500
DANIELLE BOHONOS
Student in an Organized Health Care Education/Training Program
1550 NORTH 115TH STREET, BOX 358828
SEATTLE, WA 98133
King County (206) 794-1197
CUONG CHI LIEU MD
Student in an Organized Health Care Education/Training Program
1550 NORTH 115TH STREET, BOX 358828, UW MEDICAL CENTER-NORTHWEST
SEATTLE, WA 98133
King County (206) 543-3750
SHADHI NICOLE MANSOORI
Student in an Organized Health Care Education/Training Program
1550 NORTH 115TH STREET, BOX 358828
SEATTLE, WA 98133
King County (206) 543-6577

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 Calvin Fang's NPI number?

The NPI number for Calvin Fang is 1245179209. It was assigned to this individual provider in the NPPES registry on March 26, 2026.

Where is Calvin Fang located?

Calvin Fang practices at 1550 North 115th Street Box 358828, Seattle, WA 98133. The listed phone number is (206) 543-6577.

What is Calvin Fang's specialty?

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

Is Calvin Fang enrolled in Medicare?

Yes. Calvin Fang is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Calvin Fang was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.