Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TIFFANY KRISTA FAN MD
NPI 1962151258
Emergency Medicine in Pasadena, CA

Active since March 22, 2022PECOS EnrolledAccepts Medicare Assignment
100 W CALIFORNIA BLVD, PASADENA, CA 91105(888) 388-7184 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 13, 2026, May 8, 2024, Sep 27, 2022 (3 updates tracked since 2022).

About Tiffany Krista Fan Md NPPES

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

TIFFANY KRISTA FAN MD (NPI 1962151258) is an individual emergency medicine provider in Pasadena, California, licensed in California (A189411) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Torrance, and is a graduate of University Of California, Geffen School Of Medicine (2022).

NPPES Registry Identity

NPI1962151258
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameTIFFANY KRISTA FANCredential: MD
Location Address100 W CALIFORNIA BLVDPasadena, CA 91105-3010
Mailing AddressPo Box 60259Los Angeles, CA 90060-0259 · (877) 346-2211
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2022
Enumeration DateMarch 22, 2022
Last NPPES UpdateAugust 13, 20263 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
✔ NPI 1962151258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · A189411
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
100 W CALIFORNIA BLVD, Pasadena, CA 91105

Secondary Practice Location 1

Location 11000 W Carson StTorrance, CA 90502-2004 · Phone (424) 306-5400

Other Identifiers 1

Other0N/a

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tiffany Krista Fan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42744930
PECOS Enrollment IDI20241114003037
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 91105 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
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 20

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

Nurse Practitioner (Acute Care)
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Registered Nurse (Registered Nurse First Assistant)
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Radiology (Diagnostic Radiology)
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Pain Medicine (Pain Medicine)
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Rehabilitation Unit
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Hospitalist
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Emergency Medicine
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Internal Medicine
100 W CALIFORNIA BLVD
PASADENA, CA 91105

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 Tiffany Fan's NPI number?

The NPI number for Tiffany Fan is 1962151258. It was assigned to this individual provider in the NPPES registry on March 22, 2022.

Where is Tiffany Fan located?

Tiffany Fan practices at 100 W California Blvd, Pasadena, CA 91105. The listed phone number is (888) 388-7184.

What is Tiffany Fan's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Tiffany Fan enrolled in Medicare?

Yes. Tiffany Fan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Tiffany Fan was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 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.