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BUNCHEN FAN M.D.
NPI 1588665657
Specialist in Rosemead, CA

Active since August 10, 2005CLIA 05D0928533 · Waiver
4124 ROSEMEAD BLVD, #A, ROSEMEAD, CA 91770(626) 285-2477(626) 285-1003 Get Directions Write a Review

NPPES record last updated: December 15, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bunchen Fan M.d. NPPES

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

BUNCHEN FAN M.D. (NPI 1588665657) is an individual specialist in Rosemead, California, licensed in California (A43151) and active in the NPI registry since August 2005. He holds a CLIA Waiver certificate valid through April 16, 2027.

NPPES Registry Identity

NPI1588665657
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameBUNCHEN FANCredential: M.D.
Location Address4124 ROSEMEAD BLVD, #ARosemead, CA 91770-4400
Mailing Address4124 Rosemead Blvd, #aRosemead, CA 91770-4400 · (626) 285-2477 · Fax (626) 285-1003
Phone(626) 285-2477
Fax(626) 285-1003
Sole ProprietorYes
Enumeration DateAugust 10, 2005
Last NPPES UpdateDecember 15, 2011
✔ NPI 1588665657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A43151
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4124 ROSEMEAD BLVD, Rosemead, CA 91770
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Other Identifiers 1

MedicaidA431511CA

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 05D0928533

Bunchen R Fan, MD · Rosemead, CA
Active · expires Apr 16, 2027
CLIA Number05D0928533
Laboratory TypePhysician Office
Certificate Effective DateApril 17, 2025
Certificate Expiration DateApril 16, 2027
Laboratory DirectorBunchen R. Fan, MD
Laboratory Phone(626) 285-2477
Laboratory LocationBunchen R Fan, MD4124 North Rosemead Ste A, Rosemead, CA 91770
CLIA data matches this NPI record on: 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 Bunchen Fan's NPI number?

The NPI number for Bunchen Fan is 1588665657. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Bunchen Fan located?

Bunchen Fan practices at 4124 Rosemead Blvd #a, Rosemead, CA 91770. The listed phone number is (626) 285-2477.

What is Bunchen Fan's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Bunchen Fan hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0928533) is associated with this NPI, valid through April 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bunchen Fan was last updated on December 15, 2011. 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.