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DR. LARRY K FAN M.D.
NPI 1316925183
Plastic Surgery in San Francisco, CA

Active since January 03, 2006PECOS Enrolled
77 VAN NESS AVE, SUITE 302, SAN FRANCISCO, CA 94102(415) 655-7546(415) 379-9045 Get Directions Write a Review

NPPES record last updated: February 10, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Larry K Fan M.d. NPPES

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

DR. LARRY K FAN M.D. (NPI 1316925183) is an individual plastic surgery provider in San Francisco, California, licensed in California (A73816) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316925183
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. LARRY K FANCredential: M.D.
Location Address77 VAN NESS AVE, SUITE 302San Francisco, CA 94102-6041
Mailing Address77 Van Ness Ave, Suite 302San Francisco, CA 94102-6041 · (415) 655-7546 · Fax (415) 379-9045
Phone(415) 655-7546
Fax(415) 379-9045
Sole ProprietorNo
Enumeration DateJanuary 3, 2006
Last NPPES UpdateFebruary 10, 2012
✔ NPI 1316925183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in CA · A73816
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
77 VAN NESS AVE, San Francisco, CA 94102
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Larry K Fan M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Larry Fan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

San Mateo County
6.6 mi
Community/Behavioral Health
375 89TH ST
Daly City, CA 94015
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: County Of San Mateo
  • 597 clinicians in this Medicare group
NPI 1053367854 (650) 301-8650

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

JOENIYA CHRISTIANNA CLARK
Nurse's Aide
77 VAN NESS AVE
SAN FRANCISCO, CA 94102
San Francisco County (408) 837-0116
PACIFIC SPECIALIST SURGICAL CENTER LLC
Clinic/Center (Ambulatory Surgical)
77 VAN NESS AVE, #301
SAN FRANCISCO, CA 94102
San Francisco County (415) 821-8015
LARRY K. FAN, M.D. INC.
Plastic Surgery
77 VAN NESS AVE, SUITE 302
SAN FRANCISCO, CA 94102
San Francisco County (415) 655-7546
EDITH TCHIKANDO
Nurse's Aide
77 VAN NESS AVE
SAN FRANCISCO, CA 94102
San Francisco County (408) 837-0116
ALISHA ACOFF
Nurse's Aide
77 VAN NESS AVE
SAN FRANCISCO, CA 94102
San Francisco County (408) 837-0116

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 Larry Fan's NPI number?

The NPI number for Larry Fan is 1316925183. It was assigned to this individual provider in the NPPES registry on January 3, 2006.

Where is Larry Fan located?

Larry Fan practices at 77 Van Ness Ave Suite 302, San Francisco, CA 94102. The listed phone number is (415) 655-7546.

What is Larry Fan's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Larry Fan enrolled in Medicare?

Yes. Larry Fan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Larry Fan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Larry Fan reassigns Medicare benefits to San Mateo County (Daly City, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Larry Fan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Larry Fan was last updated on February 10, 2012. 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.