Active NPI
Shannon Mei-Ling Fan
- Obstetrics & Gynecology Physician
- Los Angeles, CA
National Provider Identifier
1922749241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A190115
- Practice address
- 8631 W 3Rd St Ste 510E
Los Angeles, CA 90048-5909 - Phone
- (310) 385-3380
- NPI assigned
- Apr 2, 2022
- Last updated
- Sep 19, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | ||
| Obstetrics & Gynecology Physician | 207V00000X | A190115 | CA | Primary |
Addresses
Primary practice location
8631 W 3Rd St Ste 510E
Los Angeles, CA 90048-5909
Mailing address
8700 Beverly Blvd Ste 3636
West Hollywood, CA 90048-1804
Phone (310) 423-7417
Other practice location 1
8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 423-3277
Other practice location 2
8700 Beverly Blvd Ste 3636
West Hollywood, CA 90048-1804
Phone (310) 423-7417
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Interoperability endpoints
- shannon.fanmd.p1@direct.plannedparenthoodla.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789776000000",
"number": "1922749241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8700 BEVERLY BLVD STE 3636",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900481804",
"telephone_number": "310-423-7417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8631 W 3RD ST STE 510E",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485909",
"telephone_number": "310-385-3380"
}
],
"practiceLocations": [
{
"address_1": "8700 Beverly Blvd",
"address_purpose": "LOCATION",
"city": "West Hollywood",
"state": "CA",
"postal_code": "900481804",
"country_code": "US",
"telephone_number": "310-423-3277",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8700 Beverly Blvd Ste 3636",
"address_purpose": "LOCATION",
"city": "West Hollywood",
"state": "CA",
"postal_code": "900481804",
"country_code": "US",
"telephone_number": "310-423-7417",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAN",
"first_name": "SHANNON",
"middle_name": "MEI-LING",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-02",
"last_updated": "2026-09-19",
"certification_date": "2026-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A190115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.