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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KENNETH FAN DO
NPI 1801206750
Obstetrics & Gynecology in Los Angeles, CA

Active since April 30, 2014PECOS Enrolled
1245 WILSHIRE BLVD STE 605, LOS ANGELES, CA 90017(213) 294-2160(213) 294-2165 Get Directions Write a Review

NPPES record last updated: November 2, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 2, 2026, Jun 28, 2018 (2 updates tracked since 2018).

About Kenneth Fan Do NPPES

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

KENNETH FAN DO (NPI 1801206750) is an individual obstetrics & gynecology provider in Los Angeles, California, licensed in New York (294548) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2014).

NPPES Registry Identity

NPI1801206750
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameKENNETH FANCredential: DO
Location Address1245 WILSHIRE BLVD STE 605Los Angeles, CA 90017-4806
Mailing Address118 N Kings Rd Unit 404Los Angeles, CA 90048-2673 · (626) 841-8082
Phone(213) 294-2160
Fax(213) 294-2165
Sole ProprietorNo
Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2014
Enumeration DateApril 30, 2014
Last NPPES UpdateNovember 2, 20262 updates tracked since enumeration
NPPES CertifiedNovember 2, 2026
✔ NPI 1801206750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NY · 294548
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1245 WILSHIRE BLVD STE 605, Los Angeles, CA 90017
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kenneth Fan Do 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.

PECOS PAC ID2466702840
PECOS Enrollment IDI20220413001948
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.

Medicare Billing Reassignment

Medicare enrollment records show Kenneth Fan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Allsafe Medical Group Inc.
11 mi
Obstetrics & Gynecology
8077 FLORENCE AVE STE 112
Downey, CA 90240
  • Reassigned Medicare billing, California enrollment
  • 20 clinicians in this Medicare group
NPI 1457596371 (562) 904-6031

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
34 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90017 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kenneth Fan's NPI number?

The NPI number for Kenneth Fan is 1801206750. It was assigned to this individual provider in the NPPES registry on April 30, 2014.

Where is Kenneth Fan located?

Kenneth Fan practices at 1245 Wilshire Blvd Ste 605, Los Angeles, CA 90017. The listed phone number is (213) 294-2160.

What is Kenneth Fan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kenneth Fan enrolled in Medicare?

Yes. Kenneth Fan 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.

Which organization bills Medicare for Kenneth Fan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Fan reassigns Medicare benefits to Allsafe Medical Group Inc. (Downey, CA). The 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 Kenneth Fan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kenneth Fan was last updated on November 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.