SAMANTHA XIAOYING FANG PA-C
NPI 1720708365
Physician Assistant - Surgical in San Rafael, CA
About Samantha Xiaoying Fang Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA XIAOYING FANG PA-C (NPI 1720708365) is an individual surgical provider in San Rafael, California, licensed in California (PA64308) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Samantha Xiaoying Fang Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
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.
SAN RAFAEL, CA 94901
SAN RAFAEL, CA 94901
SAN RAFAEL, CA 94901
SAN RAFAEL, CA 94901
SAN RAFAEL, CA 94901
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 Samantha Fang's NPI number?
The NPI number for Samantha Fang is 1720708365. It was assigned to this individual provider in the NPPES registry on September 1, 2022.
Where is Samantha Fang located?
Samantha Fang practices at 50 Acacia Ave, San Rafael, CA 94901. The listed phone number is (415) 457-4440.
What is Samantha Fang's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Samantha Fang enrolled in Medicare?
Yes. Samantha Fang is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Samantha Fang was last updated on March 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Samantha Xiaoying Fang, PA-C · NPI 1720708365
Surgical physician in San Rafael, California. Individual provider, active in the CMS NPPES registry since September 1, 2022.
## Identity
- **NPI:** 1720708365 (Entity type: Individual)
- **Enumerated:** September 1, 2022
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** PA64308 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 50 ACACIA AVE, San Rafael, CA 94901-2230
- **Phone:** (415) 457-4440
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** March 28, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1720708365) · Data from the CMS NPPES public registry.