PAUL C FAN MD NPI 1487689188

NPI Information

  • NPI: 1487689188
  • Provider Name: PAUL C FAN, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1516 COTNER AVE
    LOS ANGELES, CA
    ZIP 90025
  • Phone: (310) 445-2951

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NPI Details

Paul C Fan, MD is a diagnostic radiology radiology in Los Angeles, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Paul C Fan, MD NPI is 1487689188. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1516 COTNER AVE
LOS ANGELES, CA
ZIP 90025-303
Phone: (310) 445-2951
Fax: (310) 479-1459

The NPI 1487689188 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Injection, gadoterate meglumine, 0.1 ml (HCPCS:A9575)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Screening mammography (HCPCS:77067)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Screening 3d breast mammography (HCPCS:77063)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Double contrast x-ray of esophagus (HCPCS:74221)
  • Ct scan of chest before and after contrast (HCPCS:71270)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Complete ultrasound scan of pelvis (HCPCS:76856)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Limited ultrasound scan behind abdominal cavity (HCPCS:76775)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Ct scan of abdomen before and after contrast (HCPCS:74170)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)

The enumeration date for this NPI number is 7/11/2006 and was last updated on 1/31/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyG62619CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100F626190OTHERCALIFORNIABLUE SHIELD
2TG256AMEDICARE PINCALIFORNIA
3WG62619KMEDICARE PINCALIFORNIA
4WG62619NMEDICARE PINCALIFORNIA
500G626193MEDICARE PINCALIFORNIA
600G626190MEDICAIDCALIFORNIA
7WG62619QMEDICARE PINCALIFORNIA
8WG62619MMEDICARE PINCALIFORNIA
900G626191MEDICARE PINCALIFORNIA
1000G626194MEDICARE PINCALIFORNIA
11WG62619PMEDICARE PINCALIFORNIA
1200G626192MEDICARE PINCALIFORNIA
13TP009MEDICARE PINCALIFORNIA
14WG62619FMEDICARE PINCALIFORNIA
15WG62619GMEDICARE PINCALIFORNIA
16WG62619HMEDICARE PINCALIFORNIA
17WG62619LMEDICARE PINCALIFORNIA
18WG62619OMEDICARE PINCALIFORNIA
1900G626195MEDICARE PINCALIFORNIA
20TG256BMEDICARE PINCALIFORNIA
21WG62619IMEDICARE PINCALIFORNIA
22F34960MEDICARE UPINCALIFORNIA
23WG62619JMEDICARE PINCALIFORNIA
24WG62619AMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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