VIVIAN FAN
NPI 1972323558
Nurse Practitioner - Family in San Marino, CA

Q: What is Vivian Fan's NPI number?

The NPI number for Vivian Fan is 1972323558. It was assigned to this individual provider in the NPPES registry on October 16, 2024.

Q: What is Vivian Fan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Vivian Fan was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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 October 16, 2024

1437 SAN MARINO AVE, SAN MARINO, CA 91108(626) 793-7922 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Vivian Fan NPPES

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

VIVIAN FAN (NPI 1972323558) is an individual family provider in San Marino, California, licensed in California (95030461) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1972323558

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameVIVIAN FAN

Location Address1437 SAN MARINO AVESan Marino, CA 91108-2027

Mailing Address1132 S 3rd StAlhambra, CA 91801-4723 · (626) 492-2880

Phone(626) 793-7922

Sole ProprietorYes

Enumeration DateOctober 16, 2024

NPPES CertifiedOctober 16, 2024

✔ NPI 1972323558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95030461

1437 SAN MARINO AVE, San Marino, CA 91108

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Other Providers at the Same Location NPPES

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

PY SADDLER, M.D., F.A.C.P., INC

Internal Medicine

1437 SAN MARINO AVE
SAN MARINO, CA 91108

Los Angeles County (626) 405-1034

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 Vivian Fan's NPI number?

The NPI number for Vivian Fan is 1972323558. It was assigned to this individual provider in the NPPES registry on October 16, 2024.

Where is Vivian Fan located?

Vivian Fan practices at 1437 San Marino Ave, San Marino, CA 91108. The listed phone number is (626) 793-7922.

What is Vivian Fan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Vivian Fan was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.