MS. JUSTINE FAN
NPI 1861747222
Student in an Organized Health Care Education/Training Program in Fremont, CA
About Ms. Justine Fan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JUSTINE FAN (NPI 1861747222) is an individual student in an organized health care education/training program in Fremont, California and active in the NPI registry since July 2012. She has opted out of Medicare through November 18, 2027.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Ms. Justine Fan has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 18, 2025 through November 18, 2027.
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.
FREMONT, CA 94538
FREMONT, CA 94538
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 Justine Fan's NPI number?
The NPI number for Justine Fan is 1861747222. It was assigned to this individual provider in the NPPES registry on July 20, 2012.
Where is Justine Fan located?
Justine Fan practices at 39155 Liberty St Suite E500, Fremont, CA 94538. The listed phone number is (510) 574-2114.
What is Justine Fan's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Justine Fan enrolled in Medicare?
No. Justine Fan has opted out of Medicare through November 18, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Justine Fan was last updated on July 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
