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BENJERMIN FAN
NPI 1669333167
Nurse Practitioner in Pasadena, CA

Active since November 24, 2025
3849 E FOOTHILL BLVD, PASADENA, CA 91107(626) 469-5433 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 4, 2025, Nov 24, 2025 (2 updates tracked since 2025).

About Benjermin Fan NPPES

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

BENJERMIN FAN (NPI 1669333167) is an individual nurse practitioner in Pasadena, California, licensed in California (95031818) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1669333167
Entity TypeIndividual
Primary Taxonomy363L00000X
Provider Legal NameBENJERMIN FAN
Location Address3849 E FOOTHILL BLVDPasadena, CA 91107-2204
Mailing Address3849 E Foothill BlvdPasadena, CA 91107-2204
Phone(626) 469-5433
Sole ProprietorNo
Enumeration DateNovember 24, 2025
Last NPPES UpdateDecember 4, 20252 updates tracked since enumeration
NPPES CertifiedDecember 4, 2025
✔ NPI 1669333167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95031818
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 95031818 (CA)
3849 E FOOTHILL BLVD, Pasadena, CA 91107
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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.

ADAM ZISMAN
Pediatrics
3849 E FOOTHILL BLVD
PASADENA, CA 91107
Los Angeles County (626) 469-5437
MARIA VICTORIA PENA NP
Nurse Practitioner (Pediatrics)
3849 E FOOTHILL BLVD
PASADENA, CA 91107
Los Angeles County (626) 469-5437
HELEN OH
Pediatrics
3849 E FOOTHILL BLVD
PASADENA, CA 91107
Los Angeles County (626) 469-5437

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 Benjermin Fan's NPI number?

The NPI number for Benjermin Fan is 1669333167. It was assigned to this individual provider in the NPPES registry on November 24, 2025.

Where is Benjermin Fan located?

Benjermin Fan practices at 3849 E Foothill Blvd, Pasadena, CA 91107. The listed phone number is (626) 469-5433.

What is Benjermin Fan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Benjermin Fan was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.