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JESSICA D FAN PA-C
NPI 1982153292
Physician Assistant - Medical in Claremont, CA

Active since September 27, 2016
981 W FOOTHILL BLVD, CLAREMONT, CA 91711(909) 667-7769 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2023, Sep 27, 2016 (2 updates tracked since 2016).

About Jessica D Fan Pa-c NPPES

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

JESSICA D FAN PA-C (NPI 1982153292) is an individual medical provider in Claremont, California, licensed in California (PA53780) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1982153292
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJESSICA D FANCredential: PA-C
Location Address981 W FOOTHILL BLVDClaremont, CA 91711-3304
Mailing Address981 W Foothill BlvdClaremont, CA 91711-3304 · (909) 667-7769
Phone(909) 667-7769
Sole ProprietorNo
Enumeration DateSeptember 27, 2016
Last NPPES UpdateOctober 11, 20232 updates tracked since enumeration
NPPES CertifiedOctober 11, 2023
✔ NPI 1982153292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA53780
981 W FOOTHILL BLVD, Claremont, CA 91711
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Other Providers at the Same Location NPPES 2

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

BETTY SIHUI SONG MD
Dermatology
981 W FOOTHILL BLVD
CLAREMONT, CA 91711
Los Angeles County (909) 667-7769
VERA DERMATOLOGY INC
Dermatology
981 W FOOTHILL BLVD
CLAREMONT, CA 91711
Los Angeles County (909) 667-7769

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 Jessica Fan's NPI number?

The NPI number for Jessica Fan is 1982153292. It was assigned to this individual provider in the NPPES registry on September 27, 2016.

Where is Jessica Fan located?

Jessica Fan practices at 981 W Foothill Blvd, Claremont, CA 91711. The listed phone number is (909) 667-7769.

What is Jessica Fan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Jessica Fan was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.