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FANNY CHAN MD
NPI 1669050506
Student in an Organized Health Care Education/Training Program in Woodland Hills, CA

Active since March 31, 2021PECOS Enrolled
5601 DE SOTO AVE, WOODLAND HILLS, CA 91367(626) 202-5324 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 6, 2021, Apr 1, 2021 (2 updates tracked since 2021).

About Fanny Chan Md NPPES

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

FANNY CHAN MD (NPI 1669050506) is an individual student in an organized health care education/training program in Woodland Hills, California and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669050506
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameFANNY CHANCredential: MD
Location Address5601 DE SOTO AVEWoodland Hills, CA 91367-6701
Mailing Address5601 De Soto AveWoodland Hills, CA 91367-6701
Phone(626) 202-5324
Sole ProprietorNo
Enumeration DateMarch 31, 2021
Last NPPES UpdateDecember 6, 20212 updates tracked since enumeration
NPPES CertifiedApril 1, 2021
✔ NPI 1669050506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5601 DE SOTO AVE, Woodland Hills, CA 91367
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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)

Fanny Chan Md 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.

TIMOTHY STARR MPT
Physical Therapist (Orthopedic)
5601 DE SOTO AVE, PHYSICAL THERAPY DEPARTMENT
WOODLAND HILLS, CA 91367
Los Angeles County (818) 719-2930
MS. BONNIE JILL WEISSMAN P.T.A.
Technician, Other
5601 DE SOTO AVE
WOODLAND HILLS, CA 91367
Los Angeles County (818) 719-3958
MANO SHANAA M.D.
Anesthesiology
5601 DE SOTO AVE, DEPT OF ANESTHESIA
WOODLAND HILLS, CA 91367
Los Angeles County (818) 719-2261
DONNA M KARY CRNA
Nurse Anesthetist, Certified Registered
5601 DE SOTO AVE
WOODLAND HILLS, CA 91367
Los Angeles County (818) 719-2000
PAULA MONAGHAN CNM
Advanced Practice Midwife
5601 DE SOTO AVE
WOODLAND HILLS, CA 91367
Los Angeles County (818) 719-2000
DEAN T. NORA MD
Surgery (Surgical Oncology)
5601 DE SOTO AVE
WOODLAND HILLS, CA 91367
Los Angeles County (818) 719-2000
MARGARET M. STONE MD
Pediatrics (Pediatric Infectious Diseases)
5601 DE SOTO AVE
WOODLAND HILLS, CA 91367
Los Angeles County (818) 719-2000
KARIN L NIELSEN PA
Physician Assistant
5601 DE SOTO AVE
WOODLAND HILLS, CA 91367
Los Angeles County (818) 719-2000

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 Fanny Chan's NPI number?

The NPI number for Fanny Chan is 1669050506. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Where is Fanny Chan located?

Fanny Chan practices at 5601 De Soto Ave, Woodland Hills, CA 91367. The listed phone number is (626) 202-5324.

What is Fanny Chan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Fanny Chan enrolled in Medicare?

Yes. Fanny Chan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Fanny Chan was last updated on December 6, 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.