CHI Fan, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC35165 Issued in CA

Practice address

941 S. Atlantic Blvd,
Suite 221
Monterey Park, CA 91754-4722

Phone

(626) 284-4202

Fax

(626) 284-3926

NPI assigned

May 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Jane CHI Fan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370217600000",
    "number": "1598714727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 S. ATLANTIC BLVD,",
            "address_2": "SUITE 221",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544722",
            "telephone_number": "626-284-4202",
            "fax_number": "626-284-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 S. ATLANTIC BLVD,",
            "address_2": "SUITE 221",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544722",
            "telephone_number": "626-284-4202",
            "fax_number": "626-284-3926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAN",
        "first_name": "CHI",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-06",
        "last_updated": "2013-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC35165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "MFC35165",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "FAN",
            "middle_name": "CHI",
            "prefix": "MS.",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eva Care Physical Therapy Inc.
• Excellent Health Inc
• Exporter Medical LLC
• Eye Institute of Los Angeles
• Diana Ramirez Fajardo, LCSW, BCBA
• Emily Nancy Fan, NP
• Joseph T Fan, M.D.
• Kevin Y Fan, DDS
• Ting Wen Fan, PHD, OMD, LAC
• Helen Yi Han Fang

• Marriage & Family Therapist in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.