Yuan-Da Fan, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A43417 Issued in CA

Practice address

490 Post St
1112
San Francisco, CA 94102-1401

Phone

(415) 781-5300

Fax

(415) 781-5406

NPI assigned

Nov 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Obstetrics/Gynecology

Education

Louisiana State University School of Medicine in New Orleans, 1985

Medicare assignment

May accept Medicare assignment

Group practices

North East Medical ServicesGroup PAC ID 4284520529, 143 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• California Pacific Medical Center - Mission Bernal Hospital, San Francisco, CA, CCN 050055
• California Pacific Medical Center- Van Ness Campus Hospital, San Francisco, CA, CCN 050047

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: yfan18991@northeastmedicalservicesnems.direct-ci.com

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.

• North East Medical Services

  • Federally Qualified Health Center (FQHC)
  • San Francisco, CA
  • NPI 1518911304
  Medicare reassignment Care Compare group NPD
• North East Medical Services

  • Federally Qualified Health Center (FQHC)
  • San Francisco, CA
  • NPI 1326279852
  NPD
• UCSF Health Community Hospitals

  • General Acute Care Hospital
  • San Francisco, CA
  • NPI 1316061997
  NPD (past)

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

• Sutter Bay Hospitals

  • General Acute Care Hospital
  • San Francisco, CA
  • NPI 1730238007
  Care Compare affiliation
• Sutter Bay Hospitals

  • General Acute Care Hospital
  • San Francisco, CA
  • NPI 1740348929
  Care Compare affiliation

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1609941798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 POST ST",
            "address_2": "1112",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941021401",
            "telephone_number": "415-781-5300",
            "fax_number": "415-781-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 POST ST",
            "address_2": "1112",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941021401",
            "telephone_number": "415-781-5300",
            "fax_number": "415-781-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAN",
        "first_name": "YUAN-DA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A43417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joline Fan
• Julie Fan, DTR
• Larry K Fan, M.D.
• Qin Fan, PSY.D.
• Winnie Fan
• Nicole Le Fancher, L.AC.
• Oluwatosin Adebiyi Fancher
• Sally Fang-Tu, NP
• Annie Yee Fang, MD
• Cecilia Fang, PA-C

• Obstetrics & Gynecology Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.