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

MS. STEPHANIE FAN CRNA
NPI 1841443868
Nurse Anesthetist, Certified Registered in San Diego, CA

Active since November 04, 2008
4647 ZION AVE, SAN DIEGO, CA 92120(619) 528-7266(619) 528-6161 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 29, 2026, Dec 13, 2021, Nov 17, 2016 (3 updates tracked since 2016).

About Ms. Stephanie Fan Crna NPPES

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

MS. STEPHANIE FAN CRNA (NPI 1841443868) is an individual nurse anesthetist, certified registered in San Diego, California, licensed in Missouri (143564) and active in the NPI registry since November 2008. She is a graduate of Other (2008).

NPPES Registry Identity

NPI1841443868
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMS. STEPHANIE FANCredential: CRNA
Location Address4647 ZION AVESan Diego, CA 92120-2507
Mailing Address4647 Zion AveSan Diego, CA 92120-2507 · (619) 528-7266 · Fax (519) 528-6161
Fax(619) 528-6161
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateNovember 4, 2008
Last NPPES UpdateSeptember 29, 20263 updates tracked since enumeration
NPPES CertifiedDecember 13, 2021
✔ NPI 1841443868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MO · 143564
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
4647 ZION AVE, San Diego, CA 92120

Other Identifiers 1

Medicaid600420015MO

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

Ms. Stephanie Fan Crna 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 ID3173672565
PECOS Enrollment IDI20150713002823

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.

Obstetrics & Gynecology
4647 ZION AVE
SAN DIEGO, CA 92120
Internal Medicine (Infectious Disease)
4647 ZION AVE
SAN DIEGO, CA 92120
Internal Medicine
4647 ZION AVE, DEPARTMENT OF HOSPITAL MEDICINE
SAN DIEGO, CA 92120
Pharmacist
4647 ZION AVE
SAN DIEGO, CA 92120
Nurse Anesthetist, Certified Registered
4647 ZION AVE
SAN DIEGO, CA 92120
Social Worker (Clinical)
4647 ZION AVE
SAN DIEGO, CA 92120
Internal Medicine (Pulmonary Disease)
4647 ZION AVE
SAN DIEGO, CA 92120
Internal Medicine (Infectious Disease)
4647 ZION AVE
SAN DIEGO, CA 92120

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 Stephanie Fan's NPI number?

The NPI number for Stephanie Fan is 1841443868. It was assigned to this individual provider in the NPPES registry on November 4, 2008.

Where is Stephanie Fan located?

Stephanie Fan practices at 4647 Zion Ave, San Diego, CA 92120. The listed phone number is (619) 528-7266.

What is Stephanie Fan's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Stephanie Fan enrolled in Medicare?

Yes. Stephanie 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.

When was this NPI record last updated?

The NPPES record for Stephanie Fan was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.