Peng Fan, M.D

NPI: 1104801463

Peng Fan, M.D

Q: What is Peng Fan's NPI number?

Peng Fan's NPI number is 1104801463, a unique 10-digit identifier issued by CMS.

Q: What does Peng Fan specialize in?

Peng Fan specializes in Specialty not listed, taxonomy code 174400000X.

Q: Where does Peng Fan practice?

Peng Fan practices in North Hollywood, CA 91607-3430.

Q: When was Peng Fan's NPI issued?

Peng Fan's NPI was issued on December 9, 2005.

Q: What is Peng Fan's provider type?

Peng Fan is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderSpecialty not listed

NPI issued: December 9, 2005

Quick Facts

NPI Number

1104801463

TypeIndividual

StatusActive

SpecialtySpecialty not listed

Taxonomy174400000X — Specialty not listed

Phone

(818) 980-7010

StateCA

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1104801463)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (December 9, 2005)

Data source: CMS NPPES

Provider Overview

PENG FAN, M.D is a Healthcare provider based in North Hollywood, CA who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1104801463

Provider TypeIndividual Provider

GenderMale

CredentialM.D

StatusActive

Enumeration DateDecember 9, 2005

Practice Location

CityNorth Hollywood

StateCA

ZIP Code91607-3430

Phone(818) 980-7010

Specialties & Licenses

★ Primary

SpecialtySpecialty not listed

Taxonomy Code174400000X

License StateCA

Mailing Address

CityNorth Hollywood

StateCA

ZIP Code91607-3430

Phone(818) 980-7010

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1104801463 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1104801463for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1104801463 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

Browse all Specialty not listedproviders →

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