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JACOB C. FAN MD
NPI 1902954894
Pediatrics in Los Angeles, CA

Active since January 08, 2007
6041 CADILLAC AVE, LOS ANGELES, CA 90034(323) 857-2000 Get Directions Write a Review

NPPES record last updated: November 29, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacob C. Fan Md NPPES

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

JACOB C. FAN MD (NPI 1902954894) is an individual pediatrics provider in Los Angeles, California, licensed in California (G17662) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1902954894
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJACOB C. FANCredential: MD
Location Address6041 CADILLAC AVELos Angeles, CA 90034-1702
Mailing Address393 E Walnut St, 3rd Floor Phr SystemsPasadena, CA 91188-0001 · (000) 000-0000 · Fax (000) 000-0000
Phone(323) 857-2000
Sole ProprietorNo
Enumeration DateJanuary 8, 2007
Last NPPES UpdateNovember 29, 2007
✔ NPI 1902954894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · G17662
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
6041 CADILLAC AVE, Los Angeles, CA 90034
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Other Identifiers 2

Medicare UPINA40147
Medicaid00G176620CA

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.

BENJAMIN M KALKIN SP
Speech-Language Pathologist
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Los Angeles County (323) 857-2000
JACQUELINE A RICE CNM
Advanced Practice Midwife
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Los Angeles County (323) 857-2000
DR. LINDA FONG M.D.
Internal Medicine (Cardiovascular Disease)
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Los Angeles County (323) 857-3290
LINDA HAN PHARM.D.
Pharmacist
6041 CADILLAC AVE, KAISER WEST LOS ANGELES MEDICAL CENTER
LOS ANGELES, CA 90034
Los Angeles County (323) 857-3989
BRYAN HERNANDEZ MD
Internal Medicine
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Los Angeles County (310) 666-6055
ALLAN CHEN MD
Internal Medicine
6041 CADILLAC AVE, INTERNAL MEDICINE MODULE 2D
LOS ANGELES, CA 90034
Los Angeles County (323) 857-3303
JOSEPHINE JUI-YU CHIU MD
Internal Medicine (Nephrology)
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Los Angeles County (323) 857-2000
LICERIO V. CASTRO JR. MD
Anesthesiology
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Los Angeles County (323) 857-2000

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 Jacob Fan's NPI number?

The NPI number for Jacob Fan is 1902954894. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Jacob Fan located?

Jacob Fan practices at 6041 Cadillac Ave, Los Angeles, CA 90034. The listed phone number is (323) 857-2000.

What is Jacob Fan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Jacob Fan was last updated on November 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.