ROBERT FAN M.D.
NPI 1275604480
Specialist in Los Angeles, CA

Active since November 10, 2006PECOS EnrolledAccepts Medicare Assignment
8110 AIRPORT BLVD, SECOND FLOOR, LOS ANGELES, CA 90045(310) 674-0144 Get Directions Write a Review

NPPES record last updated: September 17, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Robert Fan M.d. NPPES

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

ROBERT FAN M.D. (NPI 1275604480) is an individual specialist in Los Angeles, California and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Ohio (1998).

NPPES Registry Identity

NPI1275604480
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameROBERT FANCredential: M.D.
Location Address8110 AIRPORT BLVD, SECOND FLOORLos Angeles, CA 90045-3119
Mailing Address8110 Airport Blvd, Second FloorLos Angeles, CA 90045-3119 · (310) 674-0144
Sole ProprietorNo
Medical School CMSMedical College Of OhioGraduated 1998
Enumeration DateNovember 10, 2006
Last NPPES UpdateSeptember 17, 2012
NPI 1275604480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
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.
8110 AIRPORT BLVD, Los Angeles, CA 90045

Other Identifiers 1

Medicare UPINI39707CA

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

Robert Fan M.d. 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.

PECOS PAC ID9739119710
PECOS Enrollment IDI20050818001038
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
143 services101 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
67 services67 patients
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
51 services50 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
27 services27 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
22 services21 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
11 services11 patients

Other Providers at the Same Location NPPES 10

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

Clinic/Center (Ambulatory Surgical)
8110 AIRPORT BLVD, FIRST FLOOR
LOS ANGELES, CA 90045
Internal Medicine (Gastroenterology)
8110 AIRPORT BLVD, SUITE 200
LOS ANGELES, CA 90045
Nurse Practitioner
8110 AIRPORT BLVD
LOS ANGELES, CA 90045
Specialist
8110 AIRPORT BLVD, SECONFD FLOOR
LOS ANGELES, CA 90045
Specialist
8110 AIRPORT BLVD, SECOND FLOOR
LOS ANGELES, CA 90045
Specialist
8110 AIRPORT BLVD
LOS ANGELES, CA 90045
Internal Medicine (Geriatric Medicine)
8110 AIRPORT BLVD
LOS ANGELES, CA 90045
Nurse Practitioner (Adult Health)
8110 AIRPORT BLVD
LOS ANGELES, CA 90045

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 Robert Fan's NPI number?

The NPI number for Robert Fan is 1275604480. It was assigned to this individual provider in the NPPES registry on November 10, 2006.

Where is Robert Fan located?

Robert Fan practices at 8110 Airport Blvd Second Floor, Los Angeles, CA 90045. The listed phone number is (310) 674-0144.

What is Robert Fan's specialty?

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

Is Robert Fan enrolled in Medicare?

Yes. Robert Fan 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.

When was this NPI record last updated?

The NPPES record for Robert Fan was last updated on September 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.