Jason M Fan (NPI# 1629413687, PAC ID# 4385930452) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1629413687 |
| PAC ID by PECOS | 4385930452 |
| Professional Enrollment ID | I20160915002700 |
| Full Name | Jason M Fan |
| Organization Legal Name | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
| Address |
1188 N Euclid St Anaheim CA 92801-1900 |
| Phone Number | 7142542747 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6002729175 |
| Number of Group Practice Members | 7666 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1188 N Euclid St, Anaheim, CA 92801-1900 | 7142542747 | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
| 5475 E La Palma Ave, Anaheim, CA 92807-2075 | 7142796088 | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
| 12100 Euclid St, Garden Grove, CA 92840-3304 | 8889882800 | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
| Organization Legal Name | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
| Physicians | 10172 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chengjie Zheng | Ophthalmology | Southern California Permanente Medical Group | 9449 Imperial Hwy, Downey, CA 90242-2814 |
| Dong Joo Kim | Dermatology | Southern California Permanente Medical Group | 3401 S Harbor Blvd, Santa Ana, CA 92704-7933 |
| Terese S Bergheim | Dermatology | Southern California Permanente Medical Group | 12100 Euclid St, Garden Grove, CA 92840-3304 |
| Nabeel Rashid Hameed | Family Medicine | Southern California Permanente Medical Group | 4949 Market St, Ventura, CA 93003-7851 |
| Linda Marie Silver | Clinical Social Worker | Southern California Permanente Medical Group | 2081 Palos Verdes N Dr, Lomita, CA 90717-3701 |
| Erik James Ryo Murata | Physical Therapy | Southern California Permanente Medical Group | 411 N Lakeview Ave, Anaheim, CA 92807-3028 |
| Natasha D Irving | Obstetrics/gynecology | Southern California Permanente Medical Group | 1200 Discovery Dr, Bakersfield, CA 93309-7032 |
| May Sanguanlosit | Optometry | Southern California Permanente Medical Group | 27201 Tourney Rd, Santa Clarita, CA 91355-1854 |
| Neepa Shah | Ophthalmology | Southern California Permanente Medical Group | 75036 Gerald Ford Dr, Palm Desert, CA 92211-2080 |
| Gabrielle E Brown | Dermatology | Southern California Permanente Medical Group | 18600 S Figueroa St, Gardena, CA 90248-4505 |
| Street Address |
1188 N EUCLID ST |
| City | ANAHEIM |
| State | CA |
| Zip | 92801-1900 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jun Ho Chae | Family Medicine | Southern California Permanente Medical Group | 1188 N Euclid St, Anaheim, CA 92801-1900 |
| Marites Mcmurtrey | Family Medicine | Southern California Permanente Medical Group | 1188 N Euclid St, Anaheim, CA 92801-1900 |
| Rhett M Bartolome | Family Medicine | Southern California Permanente Medical Group | 1188 N Euclid St, Anaheim, CA 92801-1900 |
| Nancy L Dom | Psychiatry | Southern California Permanente Medical Group | 1188 N Euclid St, Anaheim, CA 92801-1900 |
| Robb M Saito | Psychiatry | Southern California Permanente Medical Group | 1188 N Euclid St, Anaheim, CA 92801-1900 |
| Kimberly C Lloyd | Psychiatry | Southern California Permanente Medical Group | 1188 N Euclid St, Anaheim, CA 92801-1900 |
| Francis D Shih | Psychiatry | Southern California Permanente Medical Group | 1188 N Euclid St, Anaheim, CA 92801-1900 |
| Tram A Ngo | Family Medicine | Southern California Permanente Medical Group | 1188 N Euclid St, Anaheim, CA 92801-1900 |
| Everard T Esteban | Family Medicine | Southern California Permanente Medical Group | 1188 N Euclid St, Anaheim, CA 92801-1900 |
| William O Woo Iii | Family Medicine | Southern California Permanente Medical Group | 1188 N Euclid St, Anaheim, CA 92801-1900 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory J Valentine | Chiropractic | 1661 N Raymond Ave, Suite 105, Anaheim, CA 92801-1146 | |
| Seok Hwan Son | Oral Surgery | 40 E Orangethorpe Ave, Anaheim, CA 92801-1206 | |
| Patricia A Riedel | Nurse Practitioner | Raveen R. Arora Md Facc | 1712 W Medical Ctr Dr, Anaheim, CA 92801-1801 |
| Raveen R Arora | Cardiovascular Disease (cardiology) | Raveen R. Arora Md Facc | 1712 W Medical Ctr Dr, Anaheim, CA 92801-1801 |
| Rajwinder Kaur | Nurse Practitioner | Ashok Amin Md Inc | 1711 W Romneya Dr, Anaheim, CA 92801-1804 |
| Reza Talebi Dolouei | Family Medicine | 1735 W Romneya Dr, Anaheim, CA 92801-1804 | |
| Theodore D Tran | Ophthalmology | 1739 W Romneya Dr, Anaheim, CA 92801-1804 | |
| Juan C Quiros | Cardiovascular Disease (cardiology) | 1735 W Romneya Dr, Anaheim, CA 92801-1804 | |
| Akruti Jignesh Dadhania | Nurse Practitioner | Ashok Amin Md Inc | 1711 W Romneya Dr, Anaheim, CA 92801-1804 |
| Ashokkumar I Amin | Internal Medicine | Ashok Amin Md Inc | 1711 W Romneya Dr, Anaheim, CA 92801-1804 |
| Find all physicians in zip 92801 | |||
| City | ANAHEIM |
| Zip Code | 92801 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ANAHEIM + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jason M Fan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.