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DR. JESSICA HWEI-JAY FAN MD
NPI 1619407707
Psychiatry & Neurology - Neurology in Oakland, CA

Active since June 12, 2017PECOS EnrolledAccepts Medicare Assignment
3701 BROADWAY FL 1, OAKLAND, CA 94611(510) 752-6509 Get Directions Write a Review

NPPES record last updated: August 31, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 31, 2022, Aug 20, 2021, Apr 21, 2021 and 1 more (4 updates tracked since 2017).

About Dr. Jessica Hwei-jay Fan Md NPPES

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

DR. JESSICA HWEI-JAY FAN MD (NPI 1619407707) is an individual neurology provider in Oakland, California, licensed in California (A171710) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Richmond, and is a graduate of Washington University School Of Medicine (2017).

NPPES Registry Identity

NPI1619407707
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. JESSICA HWEI-JAY FANCredential: MD
Location Address3701 BROADWAY FL 1Oakland, CA 94611-5613
Mailing Address3701 Broadway Fl 1Oakland, CA 94611-5613 · (510) 752-6509
Phone(510) 752-6509
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 2017
Enumeration DateJune 12, 2017
Last NPPES UpdateAugust 31, 20224 updates tracked since enumeration
NPPES CertifiedAugust 31, 2022
✔ NPI 1619407707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in CA · A171710
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

3701 BROADWAY FL 1, Oakland, CA 94611
Open in Google Maps ↗

Secondary Practice Location 1

Location 1901 Nevin AveRichmond, CA 94801-3143 · Phone (510) 307-1595

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

Dr. Jessica Hwei-jay Fan Md 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 ID2769754829
PECOS Enrollment IDI20210726003452
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 94611 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
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 4

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

KAISER FOUNDATION HEALTH PLAN INC
Pharmacy (Community/Retail Pharmacy)
3701 BROADWAY FL 1
OAKLAND, CA 94611
Alameda County (510) 752-4188
DR. KYLE J MENZE D.O.
Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)
3701 BROADWAY FL 1
OAKLAND, CA 94611
Alameda County (510) 821-1118
DR. LYNN ZHANG M.D.
Psychiatry & Neurology (Neurology)
3701 BROADWAY FL 1
OAKLAND, CA 94611
Alameda County (510) 752-6509
CHRISTI FONTAIN ASHLEY NG MD
Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)
3701 BROADWAY FL 1
OAKLAND, CA 94611
Alameda County (510) 752-4138

Frequently Asked Questions

What is Jessica Fan's NPI number?

The NPI number assigned to this healthcare provider is 1619407707, enumerated as an "individual" on June 12, 2017.

Where is the provider located?

The provider is located at 3701 BROADWAY FL 1 OAKLAND, CA 94611 and the phone number is (510) 752-6509.

What is the provider's specialty?

Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.