Paul C Fan, MD - Medicare Diagnostic Radiology in Los Angeles, CA

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Paul C Fan, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Los Angeles, California. He graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Beverly Radiology Medical Group Iii, Desert Advanced Imaging Medical Center and his current practice location is 1516 Cotner Ave, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (310) 445-2951.

Paul C Fan is licensed to practice in California (license number G62619) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1487689188.

Contact Information

Paul C Fan, MD
1516 Cotner Ave,
Los Angeles, CA 90025-3303
(310) 445-2951
(310) 479-1459

Map and Direction




Physician's Profile

Full NamePaul C Fan
GenderMale
SpecialityDiagnostic Radiology
Experience38 Years
Location1516 Cotner Ave, Los Angeles, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Paul C Fan graduated from medical school in 1986
  NPI Data:
  • NPI Number: 1487689188
  • Provider Enumeration Date: 07/11/2006
  • Last Update Date: 01/31/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 2365539707
  • Enrollment ID: I20071031000638

Medical Identifiers

Medical identifiers for Paul C Fan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487689188NPI-NPPES
00F626190OtherCABLUE SHIELD
00G626190MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology G62619 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Beverly Radiology Medical Group Iii3476466376246
Desert Advanced Imaging Medical Center6406749613144

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Paul C Fan allows following entities to bill medicare on his behalf.
Entity NameBeverly Radiology Medical Group Iii
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962457812
PECOS PAC ID: 3476466376
Enrollment ID: O20031106000784
Entity NameBeverly Radiology Medical Group Iii
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962457812
PECOS PAC ID: 3476466376
Enrollment ID: O20040202001145
Entity NameDiagnostic Radiological Imaging
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710931910
PECOS PAC ID: 4981680220
Enrollment ID: O20040626000471
Entity NameTruxtun Radiology Medical Group Lp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548265036
PECOS PAC ID: 5698714582
Enrollment ID: O20050429000546
Entity NameDesert Advanced Imaging Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568416147
PECOS PAC ID: 6406749613
Enrollment ID: O20050622001415
Entity NamePronet Imaging Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528099488
PECOS PAC ID: 5890722755
Enrollment ID: O20050721000831
Entity NameBeverly Radiology Medical Group Iii
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962457812
PECOS PAC ID: 3476466376
Enrollment ID: O20060221000914
Entity NameVallejo Open Mri Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164478277
PECOS PAC ID: 9133132046
Enrollment ID: O20060719000128
Entity NameStockton Diagnostic Imaging
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356538201
PECOS PAC ID: 0749386894
Enrollment ID: O20070507000122
Entity NameSan Fernando Valley Interventional Radiology And Imaging Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942350889
PECOS PAC ID: 3476651431
Enrollment ID: O20070614000478
Entity NameFresno Imaging Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659456499
PECOS PAC ID: 2466553128
Enrollment ID: O20070724000813
Entity NameNorcal Imaging
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003965997
PECOS PAC ID: 7911099346
Enrollment ID: O20070815000403
Entity NameRadnet Medical Imaging - San Francisco
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548345382
PECOS PAC ID: 9830283761
Enrollment ID: O20070921000636
Entity NameEmeryville Advanced Imaging Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376597930
PECOS PAC ID: 3375637051
Enrollment ID: O20070926000354
Entity NameModesto Advanced Diagnostic Imaging Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730133893
PECOS PAC ID: 1850336736
Enrollment ID: O20080313000323
Entity NameSanta Rosa Imaging Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689890444
PECOS PAC ID: 2567408859
Enrollment ID: O20100324000598

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Paul C Fan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Paul C Fan, MD
1516 Cotner Ave,
Los Angeles, CA 90025-3303

Ph: (310) 445-2951		Paul C Fan, MD
1516 Cotner Ave,
Los Angeles, CA 90025-3303

Ph: (310) 445-2951

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.