Emily Nancy Fan, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95021109 Issued in CA

Practice address

1600 Corporate Center Dr
Monterey Park, CA 91754-7626

Phone

(626) 282-0288

NPI assigned

Mar 17, 2023

Sex

Female

Sole proprietor

No

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, NV2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Amg, a Professional Medical Corporation

  • Internal Medicine Physician
  • Alhambra, CA
  • NPI 1558306266
  Medicare reassignment NPD
• Medinix Medical Services Singh PLLC

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1164098810
  Medicare reassignment NPD
• Enhanced Care Management

  • Case Manager/Care Coordinator
  • Alhambra, CA
  • NPI 1588427587
  Medicare reassignment
• Apollocare Partners of Nevada, Inc.

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1316640618
  NPD (past)

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1902508708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CORPORATE CTR DR",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917547626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CORPORATE CENTER DR",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917547626",
            "telephone_number": "626-282-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAN",
        "first_name": "EMILY",
        "middle_name": "NANCY",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95021109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Excellent Health Inc
• Exporter Medical LLC
• Eye Institute of Los Angeles
• Diana Ramirez Fajardo, LCSW, BCBA
• CHI Fan, LMFT
• Joseph T Fan, M.D.
• Kevin Y Fan, DDS
• Ting Wen Fan, PHD, OMD, LAC
• Helen Yi Han Fang
• Peir-Yu Fang, D.O.

• Nurse Practitioner in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.