WEN FAN M.A.
NPI 1932486172
Marriage & Family Therapist in San Jose, CA
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
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wen Fan M.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Wen Fan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Jose, CA 95123
- Reassigned Medicare billing, California enrollment
- 3 clinicians in this Medicare group
Santa Clara, CA 95051
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 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.
Where is Wen Fan located?
Wen Fan practices at 185 Martinvale Ln, San Jose, CA 95119. The listed phone number is (408) 207-0070.
What is Wen Fan's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Wen Fan enrolled in Medicare?
Yes. Wen Fan is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Wen Fan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Wen Fan reassigns Medicare benefits to 2 organizations: Spread Your Wings For Mental Health Inc (San Jose, CA) and Permanente Medical Group Inc (Santa Clara, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Wen Fan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Wen Fan, M.A. · NPI 1932486172
Marriage & Family Therapist provider in San Jose, California. Individual provider, active in the CMS NPPES registry since November 15, 2011.
## Identity
- **NPI:** 1932486172 (Entity type: Individual)
- **Enumerated:** November 15, 2011
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 93489 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 185 MARTINVALE LN, San Jose, CA 95119-1319
- **Phone:** (408) 207-0070
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Spread Your Wings For Mental Health Inc (NPI 1760969539, San Jose, CA); Permanente Medical Group Inc (NPI 1073606299, Santa Clara, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 3, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1932486172) · Data from the CMS NPPES public registry.