Organization Active NPI

Annie Fang,M.D.,Incorporated

  • Rheumatology Physician
  • Los Gatos, CA
National Provider Identifier
1902830169
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
A75496 Issued in CA
Legal business name
ANNIE FANG,M.D.,INCORPORATED
Practice address
700 W Parr Ave
Suite a
Los Gatos, CA 95032-1442
Phone
(408) 356-3178
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Annie J. Fang, M.D.
Title
President
Phone
(406) 356-3178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X A75496 CA Primary

Addresses

Primary practice location

700 W Parr Ave
Suite a
Los Gatos, CA 95032-1442

Mailing address

700 W Parr Ave
Suite a
Los Gatos, CA 95032-1442
Phone (408) 356-3178

Other identifiers 1

IdentifierTypeStateIssuer
A75496OtherCASTATEMEDICAL LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902830169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W PARR AVE",
            "address_2": "SUITE A",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321442",
            "telephone_number": "408-356-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W PARR AVE",
            "address_2": "SUITE A",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321442",
            "telephone_number": "408-356-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNIE FANG,M.D.,INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FANG",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-356-3178",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A75496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATEMEDICAL LICENSE",
            "identifier": "A75496",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.