Robert Fan, MD | |
2500 Merced St, San Leandro, CA 94577-4201 | |
(510) 454-1000 | |
(818) 587-2493 |
Full Name | Robert Fan |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 2500 Merced St, San Leandro, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316987977 | NPI | - | NPPES |
00A651660 | Other | CA | BLUE SHIELD |
00A651660 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A65166 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Robert Fan, MD 2500 Merced St, San Leandro, CA 94577-4201 Ph: (510) 454-1000 | Robert Fan, MD 2500 Merced St, San Leandro, CA 94577-4201 Ph: (510) 454-1000 |
Chin-hsiang Feng, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-518-5598 | |
Dr. Grace Mindy Lee, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 Fax: 203-688-5599 | |
Dr. Vibha Kundi Gupta, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 517-648-0339 | |
Allison Boyd, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 | |
Dr. Bing Chung Shen, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 | |
Anthony Michael Montefusco Iv, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13855 E 14th St, San Leandro, CA 94578 Phone: 209-342-2300 Fax: 209-524-4240 | |
Mark Makoto Tanaka, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 |