John Wing Fan, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A108413 Issued in CA

Practice address

101 The City Dr S
Orange, CA 92868-3201

Phone

(657) 201-7771

NPI assigned

Jul 10, 2007

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

Other identifiers 1

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

Diagnostic Radiology

Education

New York Medical College, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kern Radiology Medical Group IncGroup PAC ID 7214826460, 94 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bakersfield Memorial Hospital Hospital, Bakersfield, CA, CCN 050036
• Mercy Hospital Hospital, Bakersfield, CA, CCN 050295
• Kern Medical Center Hospital, Bakersfield, CA, CCN 050315
• Kern Valley Healthcare District Hospital, Lake Isabella, CA, CCN 051314

Merit-based Incentive Payment System (MIPS)

Final score

92.38 of 100Reported as group

Quality

75

Promoting interoperability

100

Improvement activities

40

Cost

77.19

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Kern Radiology Medical Group, Inc

  • Diagnostic Radiology Physician
  • Bakersfield, CA
  • NPI 1700821972
  Medicare reassignment Care Compare group NPD
• Kern Radiology Medical Group, Inc

  • Diagnostic Radiology Physician
  • Tehachapi, CA
  • NPI 1699294025
  NPD
• Kern Radiology Medical Group, Inc

  • Diagnostic Radiology Physician
  • Bakersfield, CA
  • NPI 1720023997
  NPD

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

• Bakersfield Memorial Hospital

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1467538520
  Care Compare affiliation
• Dignity Health

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1104981661
  Care Compare affiliation
• Kern County Hospital Authority

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1376623538
  Care Compare affiliation
• Kern County Hospital Authority

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1376960005
  Care Compare affiliation
• Kern County Hospital Authority

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1427176569
  Care Compare affiliation
• Kern County Hospital Authority

  • Pharmacy
  • Bakersfield, CA
  • NPI 1629081849

  Hospital

  Care Compare affiliation
• Kern County Hospital Authority

  • Pharmacy
  • Bakersfield, CA
  • NPI 1699859223

  Hospital

  Care Compare affiliation
• Kern Valley Healthcare District

  • Critical Access Hospital
  • Lake Isabella, CA
  • NPI 1427049964
  Care Compare affiliation

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372809600000",
    "number": "1780882910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 THE CITY DR S",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683201",
            "telephone_number": "657-201-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 THE CITY DR S",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683201",
            "telephone_number": "657-201-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAN",
        "first_name": "JOHN",
        "middle_name": "WING",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2013-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A108413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV MEDICAL LIC",
            "identifier": "LL1765",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Famenini
• Family First Healthcare
• Family Matters Counseling Center, Inc.
• Family Practice Physicians, a Medical Corp
• Family Support Network
• Xiying Fan, MD, PHD
• Yichen Fang, MD
• Louis Fanucci
• Richard M Faraday, M.D.
• Emmy George Farag

• Diagnostic Radiology Physician in Orange, CA
• Providers in Orange, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; 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.