DR. KATHERINE W FAN M.D.
NPI 1720283294
Psychiatry & Neurology - Child & Adolescent Psychiatry in Cupertino, CA

Active since June 15, 2007
20380 TOWN CENTER LN STE 215, CUPERTINO, CA 95014(408) 996-7950 Get Directions Write a Review

NPPES record last updated: February 25, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Katherine W Fan M.d. NPPES

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

DR. KATHERINE W FAN M.D. (NPI 1720283294) is an individual child & adolescent psychiatry provider in Cupertino, California, licensed in California (A104114) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1720283294
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. KATHERINE W FANCredential: M.D.
Location Address20380 TOWN CENTER LN STE 215Cupertino, CA 95014-3250
Mailing Address4688 La Crescent LoopSan Jose, CA 95136-2685 · (408) 427-2872
Sole ProprietorYes
Enumeration DateJune 15, 2007
Last NPPES UpdateFebruary 25, 2010
NPI 1720283294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses Licensed in CA · A104114 Licensed in PA · MD429247
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPediatricsTaxonomy 208000000X · License MD429247 (PA)
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License MD429247 (PA)
20380 TOWN CENTER LN STE 215, Cupertino, CA 95014

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 Katherine Fan's NPI number?

The NPI number for Katherine Fan is 1720283294. It was assigned to this individual provider in the NPPES registry on June 15, 2007.

Where is Katherine Fan located?

Katherine Fan practices at 20380 Town Center Ln Ste 215, Cupertino, CA 95014. The listed phone number is (408) 996-7950.

What is Katherine Fan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

When was this NPI record last updated?

The NPPES record for Katherine Fan was last updated on February 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.