1. Home
  2. Directory
  3. California
  4. Travis Afb
  5. Emergency Medicine
  6. NPI Profile

LIFAN FAN MD
NPI 1639810567
Emergency Medicine in Travis Afb, CA

Active since April 05, 2022PECOS Enrolled
60 MDG/SGGE, 101 BODIN CIRCLE, TRAVIS AFB, CA 94535(707) 423-3825 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lifan Fan Md NPPES

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

LIFAN FAN MD (NPI 1639810567) is an individual emergency medicine provider in Travis Afb, California, licensed in New York (326931) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Medicine (2022).

NPPES Registry Identity

NPI1639810567
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameLIFAN FANCredential: MD
Location Address60 MDG/SGGE, 101 BODIN CIRCLETravis Afb, CA 94535-1809
Mailing Address60 Mdg/sgge, 101 Bodin CircleTravis Afb, CA 94535-1809
Phone(707) 423-3825
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2022
Enumeration DateApril 5, 2022
Last NPPES UpdateJuly 24, 2025
NPPES CertifiedJuly 18, 2025
✔ NPI 1639810567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 326931
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
60 MDG/SGGE, Travis Afb, CA 94535
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lifan Fan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325517816
PECOS Enrollment IDI20260513004391
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 94535 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
$98.85 typical visit price
range $65.02 – $191.95
Typical copayment $24.71 (range $16.25 – $47.98)
Most-billed visit code 99203
Established Patient
$113.05 typical visit price
range $21.86 – $157.69
Typical copayment $28.26 (range $5.46 – $39.42)
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 3

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

CYDNEY ELIZABETH MIDDLETON MD
Emergency Medicine
60 MDG/SGGE, 101 BODIN CIRCLE
TRAVIS AFB, CA 94535
Solano County (707) 423-3825
DR. HOANVU NGOC NGUYEN M.D.
Emergency Medicine
60 MDG/SGGE, 101 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (707) 423-3825
WILLIAM KEN MCCALLUM MD
Emergency Medicine
60 MDG/SGGE, 101 BODIN CIRCLE
TRAVIS AFB, CA 94535
Solano County (707) 423-3825

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 Lifan Fan's NPI number?

The NPI number for Lifan Fan is 1639810567. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Lifan Fan located?

Lifan Fan practices at 60 Mdg/Sgge 101 Bodin Circle, Travis Afb, CA 94535. The listed phone number is (707) 423-3825.

What is Lifan Fan's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Lifan Fan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lifan Fan was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.