STACY FANG M.D.
NPI 1558763250
Obstetrics & Gynecology in San Francisco, CA

Q: What is Stacy Fang's NPI number?

The NPI number for Stacy Fang is 1558763250. It was assigned to this individual provider in the NPPES registry on September 24, 2014.

Q: What is Stacy Fang's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Fang was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 24, 2014PECOS EnrolledAccepts Medicare Assignment

1100 VAN NESS AVE, SAN FRANCISCO, CA 94109(415) 750-7050(415) 369-1389 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 17, 2021, Oct 17, 2019 (2 updates tracked since 2019).

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About Stacy Fang M.d. NPPES

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

STACY FANG M.D. (NPI 1558763250) is an individual obstetrics & gynecology provider in San Francisco, California, licensed in California (A140045) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and is a graduate of New York Medical College (2014).

NPPES Registry Identity

NPI1558763250

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameSTACY FANGCredential: M.D.

Location Address1100 VAN NESS AVESan Francisco, CA 94109-6978

Mailing Address325 Distel CirLos Altos, CA 94022-1408 · (415) 750-7050 · Fax (415) 369-1389

Phone(415) 750-7050

Fax(415) 369-1389

Sole ProprietorNo

Medical School CMSNew York Medical CollegeGraduated 2014

Enumeration DateSeptember 24, 2014

Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration

✔ NPI 1558763250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in CA · A140045

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1100 VAN NESS AVE, San Francisco, CA 94109

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Other Identifiers 1

OtherA140045CA · State Medical License

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

Stacy Fang 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 ID6507110202

PECOS Enrollment IDI20181115002642

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 94109 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

$153.83 typical visit price

range $69.00 – $202.35

Typical copayment $38.45 (range $17.25 – $50.58)

Most-billed visit code 99204

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 20

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

CHIALIN LEE PA-C

Physician Assistant