WILLIAM FAN FNP-C
NPI 1548833510
Nurse Practitioner - Family in Mountain View, CA

Active since July 19, 2021PECOS Enrolled
701 E EL CAMINO REAL, MOUNTAIN VIEW, CA 94040(650) 734-7808 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 18, 2021, Jul 19, 2021 (2 updates tracked since 2021).

About William Fan Fnp-c NPPES

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

WILLIAM FAN FNP-C (NPI 1548833510) is an individual family provider in Mountain View, California, licensed in California (95016247) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548833510
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameWILLIAM FANCredential: FNP-C
Location Address701 E EL CAMINO REALMountain View, CA 94040-2833
Mailing Address325 Distel CirLos Altos, CA 94022-1408
Sole ProprietorNo
Enumeration DateJuly 19, 2021
Last NPPES UpdateSeptember 29, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2023
✔ NPI 1548833510 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 · 95016247
701 E EL CAMINO REAL, Mountain View, CA 94040

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

William Fan Fnp-c 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 William Fan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
12900 PARK PLAZA DR, STE 700, MS-7110
Cerritos, CA 90703
  • Reassigned Medicare billing, California enrollment
  • 235 clinicians in this Medicare group

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 94040 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

Allergy & Immunology (Allergy)
701 E EL CAMINO REAL
MOUNTAIN VIEW, CA 94040
Family Medicine
701 E EL CAMINO REAL
MOUNTAIN VIEW, CA 94040
Radiology (Diagnostic Radiology)
701 E EL CAMINO REAL
MOUNTAIN VIEW, CA 94040
Psychiatry & Neurology (Neurology)
701 E EL CAMINO REAL
MOUNTAIN VIEW, CA 94040
Anesthesiology
701 E EL CAMINO REAL
MOUNTAIN VIEW, CA 94040
Dietitian, Registered
701 E EL CAMINO REAL
MOUNTAIN VIEW, CA 94040
Emergency Medicine (Sports Medicine)
701 E EL CAMINO REAL
MOUNTAIN VIEW, CA 94040
Pediatrics
701 E EL CAMINO REAL
MOUNTAIN VIEW, CA 94040

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 William Fan's NPI number?

The NPI number for William Fan is 1548833510. It was assigned to this individual provider in the NPPES registry on July 19, 2021.

Where is William Fan located?

William Fan practices at 701 E El Camino Real, Mountain View, CA 94040. The listed phone number is (650) 734-7808.

What is William Fan's specialty?

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

Is William Fan enrolled in Medicare?

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

Which organization bills Medicare for William Fan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Fan reassigns Medicare benefits to Albion Medical Partners Of California West P C (Cerritos, 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 William 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 William Fan was last updated on September 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.