Active NPI
Annie Fang,M.D.,Incorporated
- Rheumatology Physician
- Los Gatos, CA
National Provider Identifier
1902830169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- A75496
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A75496 | Other | CA | STATEMEDICAL LICENSE |
National Provider Directory
National Provider DirectoryNPI 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.