JASON MICHAEL FAN
NPI 1629413687
Family Medicine in Anaheim, CA
About Jason Michael Fan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JASON MICHAEL FAN (NPI 1629413687) is an individual family medicine provider in Anaheim, California, licensed in California (A138157) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
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
Jason Michael Fan 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ANAHEIM, CA 92801
ANAHEIM, CA 92801
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 Jason Fan's NPI number?
The NPI number for Jason Fan is 1629413687. It was assigned to this individual provider in the NPPES registry on May 3, 2013.
Where is Jason Fan located?
Jason Fan practices at 1188 N Euclid St, Anaheim, CA 92801. The listed phone number is (714) 254-2727.
What is Jason Fan's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jason Fan enrolled in Medicare?
Yes. Jason Fan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Jason Fan was last updated on December 1, 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.
# Jason Michael Fan · NPI 1629413687
Family Medicine physician in Anaheim, California. Individual provider, active in the CMS NPPES registry since May 3, 2013.
## Identity
- **NPI:** 1629413687 (Entity type: Individual)
- **Enumerated:** May 3, 2013
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A138157 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1188 N EUCLID ST, Anaheim, CA 92801-1900
- **Phone:** (714) 254-2727
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** December 1, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1629413687) · Data from the CMS NPPES public registry.