WEN FAN M.A.
NPI 1932486172
Marriage & Family Therapist in San Jose, CA

Q: What is Wen Fan's NPI number?

The NPI number for Wen Fan is 1932486172. It was assigned to this individual provider in the NPPES registry on November 15, 2011.

Q: What is Wen Fan's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Wen Fan was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since November 15, 2011PECOS Enrolled

185 MARTINVALE LN, SAN JOSE, CA 95119(408) 207-0070 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 3, 2022, Aug 10, 2016 (2 updates tracked since 2016).

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About Wen Fan M.a. NPPES

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

WEN FAN M.A. (NPI 1932486172) is an individual marriage & family therapist in San Jose, California, licensed in California (93489) and active in the NPI registry since November 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932486172

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameWEN FANCredential: M.A.

Location Address185 MARTINVALE LNSan Jose, CA 95119-1319

Mailing Address110 Montevina WayHayward, CA 94545-2348

Phone(408) 207-0070

Sole ProprietorNo

Enumeration DateNovember 15, 2011

Last NPPES UpdateJanuary 3, 20222 updates tracked since enumeration

✔ NPI 1932486172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 93489

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedCounselorTaxonomy 101Y00000X

185 MARTINVALE LN, San Jose, CA 95119

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wen Fan M.a. 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.

Other Providers at the Same Location NPPES 17

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

MOMENTUM FOR HEALTH

Psychologist