DR. JOHN C FAN (NPI# 1114129954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114129954 |
| Entity Type | Individual |
| Full Name | DR. JOHN C FAN |
| Credential | MD |
| Practice Address |
3430 E La Palma Ave Scpmg - Cardiology Anaheim CA 92806-2020 |
| Practice Telephone | 8889882800 |
| Mailing Telephone | 8889882800 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2012-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | A96808 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
A96808 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982049094 | John R. Fan | Anesthesiology | 601 E Rollins St, Orlando, FL 32803-1248 | 2013-05-02 |
| 1780882910 | John Wing Fan | Radiology | 101 The City Dr S, Orange, CA 92868-3201 | 2007-07-10 |
| 1225099203 | John G Fan | Physical Medicine & Rehabilitation | 2101 N Waldron St, Hutchinson, KS 67502-1131 | 2006-03-30 |
| 1144226770 | John Fan | Anesthesiology | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2005-06-28 |
| Street Address |
3430 E LA PALMA AVE SCPMG - CARDIOLOGY |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92806-2020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174571491 | Jennifer Kim Lee | Specialist | 3430 E La Palma Ave, Mob 2 Obgyn, Anaheim, CA 92806-2020 | 2006-05-05 |
| 1194361584 | Denise L Rollins | Marriage & Family Therapist | 3430 E La Palma Ave, Anaheim, CA 92806-2020 | 2019-11-21 |
| 1891270518 | Kimberly Way Lim | Pharmacist | 3430 E La Palma Ave, Anaheim, CA 92806-2020 | 2018-09-27 |
| 1942784277 | Kamal Gill | Pharmacist | 3430 E La Palma Ave, Anaheim, CA 92806-2020 | 2018-09-22 |
| 1184104101 | Elena Tan | Respiratory Therapist, Registered | 3430 E La Palma Ave, Anaheim, CA 92806-2020 | 2018-08-20 |
| 1609354281 | Davis Nguyen | Respiratory Therapist, Registered | 3430 E La Palma Ave, Anaheim, CA 92806-2020 | 2018-08-06 |
| 1053842401 | Jill Kristie Bandalan Sim | Pharmacist | 3430 E La Palma Ave, Bldg 2 Flr 1, Anaheim, CA 92806-2020 | 2017-03-27 |
| 1043758956 | Patrick Sato | Pharmacist | 3430 E La Palma Ave, Anaheim, CA 92806-2020 | 2017-02-10 |
| 1649718651 | Darryl Kunihiro | Pharmacist | 3430 E La Palma Ave, Anaheim, CA 92806-2020 | 2017-02-09 |
| 1205374212 | James Jamal Delk | Pharmacist | 3430 E La Palma Ave, Anaheim, CA 92806-2020 | 2017-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619513611 | Krista Mckinney | Family Medicine | 344o E. La Palma Avenue, Anaheim, CA 92806 | 2019-11-25 |
| 1780175968 | Brooke Lindsay Owen | Specialist/Technologist | 1300 N. Kraemer Blvd, Anaheim, CA 92806 | 2018-05-23 |
| 1033631973 | Biocorrx Inc. | Rehabilitation, Substance Use Disorder Unit | 2390 E Orangewood Avenue, Suite 575, Anaheim, CA 92806 | 2017-07-12 |
| 1437679784 | Margaret Elena Popp | Counselor | Adult and Older Adult Behavioral Health Services, 2035 E. Ball Rd, Anaheim, CA 92806 | 2017-06-27 |
| 1982134581 | Jessica Nguyen | Pharmacist | 2833 E Randy Ave, Anaheim, CA 92806 | 2017-06-15 |
| 1518493733 | Oksana Pradun | Nurse Practitioner | 2111 East Ball Rd., Anaheim, CA 92806 | 2017-05-08 |
| 1568828754 | Sanah Qureshi | Nurse Anesthetist, Certified Registered | 2546 E Strong Pl, Anaheim, CA 92806 | 2016-01-05 |
| 1689050379 | Wu Chiropractic Care, Inc. | Acupuncturist | 215 N State College Blvd., #b, Anaheim, CA 92806 | 2015-08-04 |
| 1659757375 | Jonathan Song | Dentist | 1134 N State College Blvd Ste C, Anaheim, CA 92806 | 2015-08-04 |
| 1558764761 | Mariko Horie | Acupuncturist | 504 N State College Blvd, Anaheim, CA 92806 | 2014-10-01 |
| Find all providers in zip 92806 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083841720 | David Juhyuk Suk | Internal Medicine | 710 N Euclid St Ste 214, Anaheim, CA 92801 | 2009-06-21 |
| 1740435197 | Ramesh R. Patel Md Inc. | Internal Medicine | 1132 N Brookhurst St, Suite A, Anaheim, CA 92801-1789 | 2008-11-26 |
| 1326219783 | Alicia Montanez | Internal Medicine | 1211 W La Palma Ave Ste 408, Anaheim, CA 92801-2806 | 2008-03-13 |
| 1164483244 | Raveen Ramesh Arora | Internal Medicine | 1712 W Medical Center Dr, Anaheim, CA 92801-1801 | 2006-03-29 |
| 1689679607 | Juan Carlos Quiros | Internal Medicine | 1735 W Romneya Dr, Anaheim, CA 92801-1804 | 2005-06-16 |
| 1760721310 | Khemka and Khemka M.d., Inc. | Internal Medicine | 1211 W La Palma Ave, Suite 410, Anaheim, CA 92801-2863 | 2013-02-01 |
| 1467741983 | David S Kramer Md A Professional Corporation | Internal Medicine | 3356 W Ball Rd, 206, Anaheim, CA 92804-3702 | 2011-04-05 |
| 1306011150 | David S Kramer Md A Professional Corporation | Internal Medicine | 3356 W Ball Rd, Suite 206, Anaheim, CA 92804-3702 | 2008-04-23 |
| 1891970729 | Advanced Healthcare Physicians, Inc | Internal Medicine | 3055 W Orange Ave, St. 201, Anaheim, CA 92804-3159 | 2008-01-09 |
| 1508082025 | Oscar A Matthews M.d. | Internal Medicine | 3010 W Orange Ave, Suite 510, Anaheim, CA 92804-3169 | 2007-04-17 |
| Find all providers in ANAHEIM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.