Individual provider Active NPI

Howard J Fan, M.D.

  • Neurocritical Care Physician
  • Carmichael, CA
National Provider Identifier
1700047347
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurocritical Care PhysicianTaxonomy code 2084A2900X
License
A116271 Issued in CA
Practice address
6555 Coyle Ave Ste 260
Carmichael, CA 95608-0312
Phone
(916) 536-2015
Fax
(916) 536-2029
NPI assigned
Jun 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurocritical Care Physician 2084A2900X A116271 CA Primary

Addresses

Primary practice location

6555 Coyle Ave Ste 260
Carmichael, CA 95608-0312

Mailing address

3400 Data Dr
Rancho Cordova, CA 95670-7956

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
I20120802000082 CA Practitioner - Critical Care (Intensivists)Practitioner - Neurology 1658527999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Neurology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

1650 Creekside Dr
Folsom, CA 95630-3400
Phone (916) 983-7476

1700 Prairie City Rd
Folsom, CA 95630-9594
Phone (916) 351-4800

1730 Prairie City Rd
Suite 120
Folsom, CA 95630-9594
Phone (916) 351-4800

3000 Q St
Sacramento, CA 95816-7058
Phone (916) 560-0319

3400 Data Dr
Rancho Cordova, CA 95670-7956

4001 J St
Sacramento, CA 95819-3626
Phone (916) 453-4414

6501 Coyle Ave
Carmichael, CA 95608-0306
Phone (916) 537-5190

6511 Coyle Ave
Carmichael, CA 95608-0306
Phone (916) 556-3300

Hospital & facility affiliations

  • Mercy San Juan Medical Center Hospital, Carmichael, CA, CCN 050516
  • Mercy Hospital of Folsom Hospital, Folsom, CA, CCN 050414
  • Mercy General Hospital Hospital, Sacramento, CA, CCN 050017
  • Adventist Health and Rideout Hospital, Marysville, CA, CCN 050133
  • Sierra Nevada Memorial Hospital Hospital, Grass Valley, CA, CCN 050150

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A116271CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation CurrentSince Aug 1, 2014 Accepting new patients
Dignity Health Medical Foundation CurrentSince Aug 1, 2014 Accepting new patients
Sierra Nevada Memorial-Miners Hospital Past Accepting new patients
Dignity Health Medical Foundation Past Accepting new patients
Dignity Community Care Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

6555 Coyle Ave
Ste 260
Carmichael, CA 95608
Phone (916) 536-3665

6501 Coyle Ave
Carmichael, CA 95608
Phone (916) 537-5000

6555 Coyle Ave
Ste 390
Carmichael, CA 95608
Phone (916) 536-2596

6555 Coyle Ave
Ste 380
Carmichael, CA 95608
Phone (916) 536-3600

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

3000 Q St
Sacramento, CA 95816
Phone (916) 733-5701

3000 Q St
Fl 4
Sacramento, CA 95816
Phone (916) 733-5700

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 5

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": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1700047347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 COYLE AVE STE 260",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080312",
            "telephone_number": "916-536-2015",
            "fax_number": "916-536-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAN",
        "first_name": "HOWARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-17",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": "CA",
            "license": "A116271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

Verify at the official NPI Registry.