EMILY FAN
NPI 1972216109
Physician Assistant in Vallejo, CA

Q: What is Emily Fan's NPI number?

The NPI number for Emily Fan is 1972216109. It was assigned to this individual provider in the NPPES registry on January 3, 2023.

Q: What is Emily Fan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Emily Fan was last updated on January 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 03, 2023PECOS Enrolled

1310 CLUB DR, VALLEJO, CA 94592(707) 638-5200 Get Directions Write a Review

NPPES record last updated: January 16, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 16, 2026, Jan 3, 2023 (2 updates tracked since 2023).

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About Emily Fan NPPES

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

EMILY FAN (NPI 1972216109) is an individual physician assistant in Vallejo, California and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in El Monte, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1972216109

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameEMILY FAN

Location Address1310 CLUB DRVallejo, CA 94592-1187

Mailing Address3401 Aero Jet AveEl Monte, CA 91731-2801 · (626) 286-8700 · Fax (626) 286-8650

Phone(707) 638-5200

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJanuary 3, 2023

Last NPPES UpdateJanuary 16, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 16, 2026

✔ NPI 1972216109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1310 CLUB DR, Vallejo, CA 94592

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Secondary Practice Location 1

Location 13401 Aero Jet AveEl Monte, CA 91731-2801 · Phone (626) 286-8700 · Fax (626) 286-8650

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Fan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517445562

PECOS Enrollment IDI20260130002343

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 94592 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

$98.85 typical visit price

range $65.02 – $191.95

Typical copayment $24.71 (range $16.25 – $47.98)

Most-billed visit code 99203

Established Patient

$80.24 typical visit price

range $21.86 – $157.69

Typical copayment $20.06 (range $5.46 – $39.42)

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.

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