Organization Active NPI

Fan PLLC

  • Anesthesiology Physician
  • Mercer Island, WA
National Provider Identifier
1891490645
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
FAN PLLC
Practice address
6165 90TH Ave SE
Mercer Island, WA 98040-4516
Phone
(206) 412-2702
NPI assigned
Apr 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Authorized official

Name
Anthony Fan, MDNPI 1932245735
Title
Owner
Phone
(206) 412-2702

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

6165 90TH Ave SE
Mercer Island, WA 98040-4516

Mailing address

6165 90TH Ave SE
Mercer Island, WA 98040-4516

Other practice location 1

85 NW Alder Pl Ste B
Issaquah, WA 98027-3201
Phone (425) 657-0609

Other practice location 2

1800 112th Ave NE Ste 302
Bellevue, WA 98004-2993
Phone (425) 818-2722

Other practice location 3

13130 NE 85th St Ste 150-B
Kirkland, WA 98033-8002
Phone (425) 686-8417

Other practice location 4

26808 Maple Valley Black Diamond Rd SE
Maple Valley, WA 98038-8309
Phone (425) 432-1511

Other practice location 5

16330 SE 256th St
Covington, WA 98042-4233
Phone (253) 246-7403

Other practice location 6

12910 Totem Lake Blvd NE Ste 103
Kirkland, WA 98034-2901
Phone (425) 814-3196

Other practice location 7

13130 NE 85th St Ste 150-B
Kirkland, WA 98033-8002
Phone (425) 686-8417

Other practice location 8

1500 145th Pl SE
Bellevue, WA 98007-5516
Phone (425) 321-0833

National Provider Directory

National Provider Directory

Locations

15301 Maple Valley Hwy
Ste 100
Renton, WA 98058
Phone (425) 523-4179

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1891490645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6165 90TH AVE SE",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980404516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6165 90TH AVE SE",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980404516",
            "telephone_number": "206-412-2702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 NW Alder Pl Ste B",
            "address_purpose": "LOCATION",
            "city": "Issaquah",
            "state": "WA",
            "postal_code": "980273201",
            "country_code": "US",
            "telephone_number": "425-657-0609",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 112th Ave NE Ste 302",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980042993",
            "country_code": "US",
            "telephone_number": "425-818-2722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13130 NE 85th St Ste 150-B",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980338002",
            "country_code": "US",
            "telephone_number": "425-686-8417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26808 Maple Valley Black Diamond Rd SE",
            "address_purpose": "LOCATION",
            "city": "Maple Valley",
            "state": "WA",
            "postal_code": "980388309",
            "country_code": "US",
            "telephone_number": "425-432-1511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16330 SE 256th St",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "WA",
            "postal_code": "980424233",
            "country_code": "US",
            "telephone_number": "253-246-7403",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12910 Totem Lake Blvd NE Ste 103",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980342901",
            "country_code": "US",
            "telephone_number": "425-814-3196",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13130 NE 85th St Ste 150-B",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980338002",
            "country_code": "US",
            "telephone_number": "425-686-8417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 145th Pl SE",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980075516",
            "country_code": "US",
            "telephone_number": "425-321-0833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-03",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "FAN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-412-2702",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercer Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.