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FANG TAN MD, INC.
NPI 1710941091
Ophthalmology in Fremont, CA

Active since April 14, 2006
1895 MOWRY AVE, SUITE 101A, FREMONT, CA 94538(510) 793-2800(510) 793-2882 Get Directions Write a Review

NPPES record last updated: August 19, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Fang Tan Md, Inc. NPPES

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

FANG TAN MD, INC. (NPI 1710941091) is a healthcare organization registered as an ophthalmology in Fremont, California and active in the NPI registry since April 2006. The organization lists Fang Tan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1710941091
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameFANG TAN MD, INC.
Location Address1895 MOWRY AVE, SUITE 101AFremont, CA 94538-1708
Mailing Address3232 Bruce DrFremont, CA 94539-5013 · (510) 793-2800 · Fax (510) 793-2882
Phone(510) 793-2800
Fax(510) 793-2882
Organization SubpartNo
Authorized OfficialFang TanCeo · (510) 793-2800
Enumeration DateApril 14, 2006
Last NPPES UpdateAugust 19, 2015
✔ NPI 1710941091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · A81026
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1895 MOWRY AVE, Fremont, CA 94538
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Other Identifiers 4

Medicare PINZZZ29589ZCA
Medicare UPINH77651CA
Medicaid00A810260CA
Medicare NSC5566220001CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fang Tan Md, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Fang Tan MD, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Fang Tan, MD
Ophthalmology
NPI 1811997646
1895 MOWRY AVE SUITE 101
Fremont, CA 94538
(510) 793-2800
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Fang Tan MD, Inc.'s NPI number?

The NPI number for Fang Tan MD, Inc. is 1710941091. It was assigned to this organization in the NPPES registry on April 14, 2006.

Where is Fang Tan MD, Inc. located?

Fang Tan MD, Inc. is located at 1895 Mowry Ave Suite 101A, Fremont, CA 94538. The listed phone number is (510) 793-2800.

What is Fang Tan MD, Inc.'s specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Fang Tan MD, Inc. enrolled in Medicare?

Yes. Fang Tan MD, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fang Tan MD, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Fang Tan MD, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fang Tan MD, Inc. was last updated on August 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.