ROBERT FAN M.D.
NPI 1316987977
Emergency Medicine in San Leandro, CA

Active since June 08, 2006PECOS Enrolled
2500 MERCED ST, SAN LEANDRO, CA 94577(510) 454-1000(818) 587-2493 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: July 26, 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 1316987977) is an individual emergency medicine provider in San Leandro, California, licensed in California (A65166) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316987977
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameROBERT FANCredential: M.D.
Location Address2500 MERCED STSan Leandro, CA 94577-4201
Mailing Address2500 Merced StSan Leandro, CA 94577-4201 · (510) 454-1000 · Fax (818) 587-2493
Fax(818) 587-2493
Sole ProprietorNo
Enumeration DateJune 8, 2006
Last NPPES UpdateDecember 6, 2021
NPI 1316987977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in CA · A65166
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2500 MERCED ST, San Leandro, CA 94577

Other Identifiers 2

Other00A651660CA · Blue Shield
Medicaid00A651660CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Robert 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94577 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
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
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 20

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

Anesthesiology
2500 MERCED ST
SAN LEANDRO, CA 94577
Registered Nurse
2500 MERCED ST
SAN LEANDRO, CA 94577
Nurse Practitioner
2500 MERCED ST
SAN LEANDRO, CA 94577
Pharmacist
2500 MERCED ST
SAN LEANDRO, CA 94577
Radiology (Diagnostic Radiology)
2500 MERCED ST
SAN LEANDRO, CA 94577
Emergency Medicine
2500 MERCED ST
SAN LEANDRO, CA 94577
Advanced Practice Midwife
2500 MERCED ST
SAN LEANDRO, CA 94577
Emergency Medicine
2500 MERCED ST
SAN LEANDRO, CA 94577

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 1316987977. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Robert Fan located?

Robert Fan practices at 2500 Merced St, San Leandro, CA 94577. The listed phone number is (510) 454-1000.

What is Robert Fan's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Robert Fan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Robert Fan was last updated on December 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.