DR. GAVIN GEORGE FAN M.D.
NPI 1598022964
Anesthesiology in San Jose, CA

Q: What is Gavin Fan's NPI number?

The NPI number for Gavin Fan is 1598022964. It was assigned to this individual provider in the NPPES registry on April 23, 2012.

Q: What is Gavin Fan's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Gavin Fan was last updated on May 11, 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.

Active since April 23, 2012PECOS Enrolled

250 HOSPITAL PKWY, SAN JOSE, CA 95119(917) 690-9777 Get Directions Write a Review

NPPES record last updated: May 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Gavin George Fan M.d. NPPES

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

DR. GAVIN GEORGE FAN M.D. (NPI 1598022964) is an individual anesthesiology provider in San Jose, California, licensed in New York (283659) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598022964

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameDR. GAVIN GEORGE FANCredential: M.D.

Location Address250 HOSPITAL PKWYSan Jose, CA 95119-1103

Mailing Address250 Hospital PkwySan Jose, CA 95119-1103

Phone(917) 690-9777

Sole ProprietorNo

Enumeration DateApril 23, 2012

Last NPPES UpdateMay 11, 2022

NPPES CertifiedMay 11, 2022

✔ NPI 1598022964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in NY · 283659

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

250 HOSPITAL PKWY, San Jose, CA 95119

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gavin George 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.

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.

MRS. JOANNE DELOSREYES PHO P.T.

Physical Therapist

250 HOSPITAL PKWY
SAN JOSE, CA 95119

Santa Clara County (408) 972-7236

ASSEFA WORKU MD

Internal Medicine

250 HOSPITAL PKWY, 260 INTERNATIONAL CIRCLE
SAN JOSE, CA 95119

Santa Clara County (408) 972-7000

THOMAS ALEC SA

Physical Therapist

250 HOSPITAL PKWY
SAN JOSE, CA 95119

Santa Clara County (408) 972-6400

ANGELA ANQI SONG

Psychiatry & Neurology (Psychiatry)

250 HOSPITAL PKWY
SAN JOSE, CA 95119

Santa Clara County (408) 972-3000

SHAMSHER SINGH MD

Family Medicine

250 HOSPITAL PKWY
SAN JOSE, CA 95119

Santa Clara County (408) 972-3000

EVON NHU GIA DU PHARMD

Pharmacist

250 HOSPITAL PKWY
SAN JOSE, CA 95119

Santa Clara County (626) 509-0616

DR. FRANCIS DOMINIC WONG D.O

Anesthesiology (Pain Medicine)

250 HOSPITAL PKWY
SAN JOSE, CA 95119

Santa Clara County (408) 972-3000

KATHERINE HONG NGUYEN PHARMD

Pharmacist (Psychiatric)

250 HOSPITAL PKWY
SAN JOSE, CA 95119

Santa Clara County (408) 972-3000

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 Gavin Fan's NPI number?

The NPI number for Gavin Fan is 1598022964. It was assigned to this individual provider in the NPPES registry on April 23, 2012.

Where is Gavin Fan located?

Gavin Fan practices at 250 Hospital Pkwy, San Jose, CA 95119. The listed phone number is (917) 690-9777.

What is Gavin Fan's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Gavin Fan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Gavin Fan was last updated on May 11, 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.