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OBSTETRICS & GYNECOLOGY LI FAN MD INC
NPI 1588047849
Clinic/Center - Medical Specialty in Poway, CA

Active since July 06, 2015
15725 POMERADO RD STE 207, POWAY, CA 92064(858) 451-7944 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Jun 5, 2017 (2 updates tracked since 2017).

About Obstetrics & Gynecology Li Fan Md Inc NPPES

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

OBSTETRICS & GYNECOLOGY LI FAN MD INC (NPI 1588047849) is a healthcare organization registered as a medical specialty in Poway, California and active in the NPI registry since July 2015. The organization lists Li Fan, President, as its authorized official.

NPPES Registry Identity

NPI1588047849
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameOBSTETRICS & GYNECOLOGY LI FAN MD INC
Location Address15725 POMERADO RD STE 207Poway, CA 92064-2059
Mailing Address15725 Pomerado Road, Ste 207Poway, CA 92064 · (858) 451-7944
Phone(858) 451-7944
Organization SubpartNo
Authorized OfficialLi FanPresident · (858) 451-7944
Enumeration DateJuly 6, 2015
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1588047849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in CA · C132851
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
15725 POMERADO RD STE 207, Poway, CA 92064
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Obstetrics & Gynecology Li Fan Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Obstetrics & Gynecology Li Fan MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Li Fan, M.D.
Obstetrics/Gynecology
NPI 1730282658
15525 POMERADO RD STE C1
Poway, CA 92064
(858) 451-7944
✔ PECOS✔ Accepts Medicare0.4 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2120746

Obstetrics & Gynecology Li Fan MD Inc · Poway, CA
Expired · Oct 23, 2026
CLIA Number05D2120746
Laboratory TypePhysician Office
Certificate Effective DateOctober 24, 2024
Certificate Expiration DateOctober 23, 2026
Laboratory DirectorLi Fan
Laboratory Phone(858) 451-7944
Laboratory LocationObstetrics & Gynecology Li Fan MD Inc15725 Pomerado Rd Ste 207, Poway, CA 92064
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Obstetrics & Gynecology Li Fan MD Inc's NPI number?

The NPI number for Obstetrics & Gynecology Li Fan MD Inc is 1588047849. It was assigned to this organization in the NPPES registry on July 6, 2015.

Where is Obstetrics & Gynecology Li Fan MD Inc located?

Obstetrics & Gynecology Li Fan MD Inc is located at 15725 Pomerado Rd Ste 207, Poway, CA 92064. The listed phone number is (858) 451-7944.

What is Obstetrics & Gynecology Li Fan MD Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Obstetrics & Gynecology Li Fan MD Inc enrolled in Medicare?

Yes. Obstetrics & Gynecology Li Fan MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Obstetrics & Gynecology Li Fan MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Obstetrics & Gynecology Li Fan MD Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Obstetrics & Gynecology Li Fan MD Inc was last updated on July 21, 2022. 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.