Individual provider Active NPI

Karen Yue-Shang Fann, D.O.

  • Otolaryngology Physician
  • Mountain View, CA
National Provider Identifier
1265635023
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
20A9852 Issued in CA
Practice address
2495 Hospital Dr Ste 450
Mountain View, CA 94040-4171
Phone
(650) 988-4161
Fax
(650) 988-4162
NPI assigned
Jun 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 20A9852 CA Primary

Addresses

Primary practice location

2495 Hospital Dr Ste 450
Mountain View, CA 94040-4171

Mailing address

2495 Hospital Dr Ste 450
Mountain View, CA 94040-4171
Phone (650) 988-4161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080516000284 CA Practitioner - Otolaryngology 4587733571 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
El Camino Health Medical Network LLCGroup PAC ID 6103115183, 202 clinicians

Practice addresses (Care Compare)

2495 Hospital Dr
Suite 460
Mountain View, CA 94040-4172
Phone (408) 871-3400

Hospital & facility affiliations

  • El Camino Health Hospital, Mountain View, CA, CCN 050308

Merit-based Incentive Payment System (MIPS)

Final score
89.25 of 100Reported as subgroup
Quality
87.84
Promoting interoperability
100
Improvement activities
40
Cost
76.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
9852CAMDProfessional Counselor
20A9852CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Camino Health Medical Group CurrentSince Sep 1, 2019 Accepting new patients
El Camino Health Medical Network, LLC CurrentSince Feb 24, 2020 Accepting new patients
County of Santa Clara Past Accepting new patients
McKee Surgery Center Past Accepting new patients
Anesthesia Care Consultants Inc Past Accepting new patients
El Camino Hospital Past Accepting new patients

Locations

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

2495 Hospital Dr
Ste 460
Mountain View, CA 94040
Phone (650) 962-4370

2495 Hospital Dr
Ste 450
Mountain View, CA 94040
Phone (650) 962-4370

2105 Forest Ave
San Jose, CA 95128
Phone (408) 947-2500

828 S Winchester Blvd
San Jose, CA 95128
Phone (408) 866-4000

2360 McKee Rd
Ste 7
San Jose, CA 95116
Phone (408) 923-1010

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kfann19921@icare.elcaminohospital.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1265635023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2495 HOSPITAL DR STE 450",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404171",
            "telephone_number": "650-988-4161",
            "fax_number": "650-988-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2495 HOSPITAL DR STE 450",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404171",
            "telephone_number": "650-988-4161",
            "fax_number": "650-988-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANN",
        "first_name": "KAREN",
        "middle_name": "YUE-SHANG",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "20A9852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.