Gary Fan, MD
NPI 1063421311 · Anesthesiology Physician · Los Angeles, CA
Enrolled with Medicare as Practitioner - Anesthesiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gary Fan, MD is a Anesthesiology Physician provider in Los Angeles, CA (NPI 1063421311).
Provider details
- NPI number
- 1063421311
- Entity type
- Individual
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- A87120 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-05
- Last updated
- 2007-07-08
Frequently asked questions
- What is Gary Fan's NPI number?
- Gary Fan's National Provider Identifier (NPI) is 1063421311, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gary Fan's specialty?
- Gary Fan is listed in the NPPES registry with a primary specialty of Anesthesiology Physician (Allopathic & Osteopathic Physicians).
- Where is Gary Fan located?
- Gary Fan's practice location on file with NPPES is 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414.
- What is Gary Fan's phone number?
- The practice phone number listed in the NPPES registry for Gary Fan is (562) 407-2080.
- Does Gary Fan accept Medicare?
- Gary Fan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gary Fan's NPI active?
- Yes — Gary Fan's NPI (1063421311) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.