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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.

SHANNON MEI-LING FAN
NPI 1922749241
Obstetrics & Gynecology in Los Angeles, CA

Active since April 02, 2022PECOS Enrolled
8631 W 3RD ST STE 510E, LOS ANGELES, CA 90048(310) 385-3380 Get Directions Write a Review

NPPES record last updated: September 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 19, 2026, Apr 7, 2022 (2 updates tracked since 2022).

About Shannon Mei-ling Fan NPPES

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

SHANNON MEI-LING FAN (NPI 1922749241) is an individual obstetrics & gynecology provider in Los Angeles, California, licensed in California (A190115) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1922749241
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameSHANNON MEI-LING FAN
Location Address8631 W 3RD ST STE 510ELos Angeles, CA 90048-5909
Mailing Address8700 Beverly Blvd Ste 3636West Hollywood, CA 90048-1804 · (310) 423-7417
Phone(310) 385-3380
Sole ProprietorNo
Enumeration DateApril 2, 2022
Last NPPES UpdateSeptember 19, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2026
✔ NPI 1922749241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · A190115
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
8631 W 3RD ST STE 510E, Los Angeles, CA 90048
Open in Google Maps ↗

Secondary Practice Locations 2

Location 18700 Beverly BlvdWest Hollywood, CA 90048-1804 · Phone (310) 423-3277
Location 28700 Beverly Blvd Ste 3636West Hollywood, CA 90048-1804 · Phone (310) 423-7417

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Mei-ling Fan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90048 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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZOE SCANNELL N.P.
Nurse Practitioner (Family)
8631 W 3RD ST STE 510E
LOS ANGELES, CA 90048
Los Angeles County (310) 385-3380
PALUK WALIA
Obstetrics & Gynecology (Obstetrics)
8631 W 3RD ST STE 510E
LOS ANGELES, CA 90048
Los Angeles County (310) 385-3380
ANAMIKA GHOSH
Physician Assistant
8631 W 3RD ST STE 510E
LOS ANGELES, CA 90048
Los Angeles County (310) 385-3380
DR. CAREN T. HOFFMAN M.D.
Obstetrics & Gynecology
8631 W 3RD ST STE 510E
LOS ANGELES, CA 90048
Los Angeles County (310) 385-3380
DR. MARIAH ELLY MD
Obstetrics & Gynecology
8631 W 3RD ST STE 510E
LOS ANGELES, CA 90048
Los Angeles County (310) 385-3380
KELLY COLLEEN JOY MD
Obstetrics & Gynecology
8631 W 3RD ST STE 510E
LOS ANGELES, CA 90048
Los Angeles County (310) 358-3380

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 Shannon Fan's NPI number?

The NPI number for Shannon Fan is 1922749241. It was assigned to this individual provider in the NPPES registry on April 2, 2022.

Where is Shannon Fan located?

Shannon Fan practices at 8631 W 3rd St Ste 510E, Los Angeles, CA 90048. The listed phone number is (310) 385-3380.

What is Shannon Fan's specialty?

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

Is Shannon Fan enrolled in Medicare?

Yes. Shannon Fan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Fan was last updated on September 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 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.